She acknowledges that the weight loss medication has caused her to lose muscle mass, which she considers a negative outcome.

“I have lost a lot of muscle. >> Oh. Uh-huh. Uh-huh. Yeah. >> And that is bad.”

Weight loss is essentially a hormonal problem that is better solved by lowering insulin through ketogenic diet than by focusing on calorie restriction or exercise alone.

“you think that weight loss isn't a hormonal problem, uh, show up at a medical clinic that that they are powerful hormones that hijack people into a healthier uh, or at least a weight loss stage.”

Weight gain in menopause is driven by estrogen loss, decreased activity levels, and muscle mass decline, which cannot be solved by hormone therapy alone without concurrent lifestyle adjustments.

“the weight gain portion is not so easy to address just with hormones because there's multiple things going on like you're less active you're losing more muscle mass you're also um your sleep is dysregulated it so then your appetite as we talked about your Cravings your hunger your appetite are all i”

Individuals can potentially enhance fat oxidation and weight loss by consuming MCT oil and ginger.

“So, we think through the capsaicin receptor, there's an increase in the thermic effect of food. So, yeah. So, I was interested to see are there little things that we could do, little changes we can make to our diet to boost energy expenditure relative to intake”