Menopause Weight Gain: Why 'It's Genetic' Is a Lie (And What Actually Works)
BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause
Dr. Stephanie Estima
4.8 • 613 Ratings
🗓️ 5 January 2026
⏱️ 23 minutes
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| 0:00.0 | If it's a genetic disease, well then she can't do anything, right? |
| 0:03.5 | She just has to take the medication, but she can sit on the couch and eat all the foods that she wants. |
| 0:07.9 | And there's no solution for that. |
| 0:10.0 | There's nothing that she can actually do because the medication is the first and primary mode of treatment. |
| 0:15.0 | So I'm just going to call bullshit here, okay? |
| 0:16.7 | I'm all for getting people out of the obese category, right? |
| 0:20.4 | Like, you are much better not obese than you are. |
| 0:23.9 | However, this idea that obesity is a genetic first disease is not only preposterous. |
| 0:32.0 | It's also insulting. |
| 0:38.8 | Hello, hello, my friends. |
| 0:40.0 | Welcome back to another episode of Better with Dr. Stephanie. |
| 0:42.5 | It's me, your host, Dr. Stephanie Estima. |
| 0:44.9 | And this month's episode, the solo episode where it's just you and me, I wanted to talk a |
| 0:51.0 | little bit about something I've been thinking about deeply lately. It's actually |
| 0:55.1 | something that's been bothering me. And so I've been thinking about it a little bit. I've been working |
| 1:00.0 | to articulate my thoughts on it. And I'm ready to share it with you. But it has to do with weight loss, |
| 1:09.6 | fat loss, body composition, and the relationship to genetics. And I've been |
| 1:17.3 | seeing this more and more online lately, many endocrinologists, many doctors who are sort of dabbling |
| 1:27.1 | in the lifestyle medicine space. And I use, if you're |
| 1:31.3 | listening to this and you're not watching the video like lifestyle air quotes, lifestyle medicine |
| 1:36.0 | usually means a medical doctor who prescribes OZempic. I say that tongue and cheek, of course, |
| 1:41.1 | but it does seem that there is this push from that camp |
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