Throwback to 2022—deep in research mode for The New Menopause, when I was just beginning to piece together what we now know: that estrogen decline is directly tied to increases in visceral fat and profound metabolic shifts. Back then, I was met with intense backlash. I was told I “didn’t understand physiology,” that it was only about calories in, calories out, and that starvation was the answer. But I knew what I was seeing—in the literature, in my patients, and in myself. This memory is a reminder of how far we’ve come. We’re not just changing the conversation—we’re rewriting it with science, with data, and with lived experience. Let’s keep pushing forward. Women deserve better. #menopause #perimenopause #drmaryclaire #thenewmenopause #metabolichealth #visceralfat #estrogenmatters #hormonesandweight #backlashandbreakthroughs