I've coached women's health, nutrition, metabolism, and transformations for twenty five years.

I've sat in the front row of thousands of conversations. I've watched the same themes repeat through different decades, different bodies, different lifestyles, and different levels of discipline.

And in the last few years, perimenopause has become one of the loudest seasons women are navigating. Even when they're doing all the right things.

I live inside these conversations every single week. It's my life's work. It's my expertise. It's what my team and I do relentlessly.

And I have lived it personally.

Perimenopause is fucking hard. It can be disruptive, it can be confronting, and it can absolutely mess with your internal experience in ways you didn't expect.

Even if you're educated, even if you're consistent, even if you've spent years thinking you know your body and two things can be true at the same time.

Yes, perimenopause is fucking hard and you do not have to suffer through it.

You can thrive in midlife.

In today's episode, I'm breaking down what you need to know when it comes to perimenopause, what changes under the surface, and teach you how to think about this pivotal time in a woman's life.

Time Stamps:

(4:40) Framework on Perimenopause

(6:00) I Didn't Soften

(12:35) Leaking Your Own Time and Energy

(13:31) What Is Perimenopause?

(17:34) What's Changing Under The Surface

(24:24) Perimenopause and Sensitivity

(30:35) The SF Coaching Method

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Apply for SF Coaching Method

https://sarahfechter.ac-page.com/sfhq-cc

Complimentary Health Content

https://sarahfechter.ac-page.com/Health_Wellness_Community

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Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/

Check Out My Website - https://www.sarahfechter.com

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This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.

Today's episode is a metabolic reality episode because insulin resistance isn't rare and it's not something that suddenly appears out of nowhere.

If we zoom out and we look at the landscape of metabolic disease, type two diabetes, cardiovascular disease, non- alcoholic fatty liver disease, insulin resistance sits at the center of all of it. And when we look at the data, close to ninety percent of metabolic disease is driven by lifestyle factors.

This means it's how we eat, how we sleep, how we move, how we manage stress, and how sedentary or active we are over time. That makes this an everyday conversation.

Insulin resistance shows up in women long before anyone ever uses that language. And most women, they can feel it before they can name it.

We'll unpack insulin resistance, how this affects women different than men, insulin signaling, and what we need to do as women to stave off this complex issue.

Time Stamps:

(0:48) Insulin Resistance

(4:15) Gender Differences with Insulin Resistance

(8:30) Insulin and Insulin Signaling

(13:50) What We Need As Women

----------

Apply for SF Coaching Method

https://sarahfechter.ac-page.com/sfhq-cc

Complimentary Health Content

https://sarahfechter.ac-page.com/Health_Wellness_Community

----------

Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/

Check Out My Website - https://www.sarahfechter.com

----------

This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.

Today's episode is an important one, and I want to say that right out of the gate, because this conversation comes up constantly in my work with women across fat loss, hormones, digestion, energy, and long term health.

This episode is about labs. More specifically, it's about what happens when you're told your labs are normal, but your body is clearly telling you a different story. Women come to me every week holding labs ordered by their doctor. Lab work that has been reviewed. It's been stamped as fine blood work that technically falls within the Western range.

And yet they don't feel good. They're tired. They're inflamed. They have symptoms. They're gaining weight. Their digestion is off. Their mood is off, their sleep is unbearable, and something just doesn't feel right in their body.

And I want you to hear this today.

That disconnect is not imagined. Not even a little bit. After twenty five years of working in nutrition, metabolism, hormone health, and lab interpretation, I can tell you that this is one of the biggest blind spots in women's health.

Today, we're going to talk about why normal doesn't always mean optimal. Why symptoms almost always show up before a diagnosis ever does, why timing patterns and context matter more than a single data point, and why so many women feel dismissed because the system isn't designed to interpret what they're actually experiencing.

This is not an episode about blaming medicine. It's an episode about understanding scope, training, and systems.

Time Stamps:

(0:50) What Happens When Your Labs Come Back "Normal"

(4:48) Context and Patterns Matter

(7:04) Systems Are Adaptive Responses

(8:13) Functional and Being Proactive

(9:55) Blood Sugar

(15:00) My Soapbox on Tik Tok and ChatGPT

(15:34) Who Is Equipped To Interpret Labs?

(20:30) Why Women Come To Us For Help

----------

Apply for SF Coaching Method

https://sarahfechter.ac-page.com/sfhq-cc

Complimentary Health Content

https://sarahfechter.ac-page.com/Health_Wellness_Community

----------

Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/

Check Out My Website - https://www.sarahfechter.com

----------

This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.