Journalist and broadcaster Joanna Trilling speaks with endocrinologist Dr Imran Badshah about how hormonal changes during perimenopause and menopause affect weight management. They discuss:

• Why falling oestrogen and a shift in the balance with androgens can lead to fat gain around the abdomen
• Why BMI has its limits and how body composition scans give a clearer picture
• How resistance training, diet and lifestyle changes support metabolic health
• Where new injectable medications fit alongside lifestyle strategies
• Why lean muscle mass is key to long-term weight and overall health

A practical, evidence-based conversation for anyone navigating weight changes during perimenopause and menopause.