Beyond the Scales: Menopause, Metabolic Health & the Role of GLP-1 Medications

Why does weight suddenly seem to increase during perimenopause and menopause, even when nothing has changed?

It's one of the most common and frustrating questions women ask during midlife, and in this episode of The Healthy Menopause Podcast, I'm joined by Dr Angela Kwong to unpack the science behind weight change, metabolic health, body composition, and the growing conversation around GLP-1 medications.

Dr Angela Kwong is a General Practitioner with a special interest in obesity management, metabolic health, and women's health. She is the founder of Enlighten Me, a medically supervised digital weight management program, and the NSW State Lead for the RACGP Specific Interests Group in Obesity Management.

Together, we explore why the old advice of "eat less and exercise more" often falls short during menopause, what is actually happening physiologically, and how women can take a more informed and compassionate approach to their health.

We also dive into one of the biggest health topics of recent years, GLP-1 medications. How do they work? Who might benefit from them? And why is preserving muscle mass just as important as losing body fat?

In this episode we discuss:

  • Why weight and body composition often change during perimenopause and menopause

  • The hormonal and metabolic changes happening beneath the surface

  • Why traditional dieting advice doesn't always work in midlife

  • The difference between weight loss and improving metabolic health

  • How GLP-1 medications work and who they may be suitable for

  • Why resistance training and adequate protein are essential for preserving muscle during weight loss

  • Common misconceptions about menopause, metabolism, and obesity

  • Practical strategies women can start implementing to support long-term health

This episode is a reminder that menopause is about far more than the number on the scales.

It's about understanding your changing physiology, protecting muscle, supporting metabolic health, and making informed decisions that help you feel stronger and healthier for years to come.

Connect with Dr Angela Kwong

www.enlightenme.com.au

@drangelakwong

Want to learn more?

If you're ready to take a more evidence-based approach to your own perimenopause journey, download my free guide:

5 Simple Evidence-Based Habits to Support Muscle, Bone & Metabolic Health During Menopause

Or, if you'd like personalised support, book a discovery call to learn more about The Perimenopause Reset and how we can work together to support your long-term health.

If you enjoyed this episode, please subscribe to The Healthy Menopause Podcast and leave a review, it helps more women find these important conversations.

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