Many women come to us during perimenopause or menopause saying some version of the same thing. “I don’t recognize my body anymore.” “I’m doing more, but getting worse results.” “I feel like I’m doing everything right, and nothing is working.” They have tried harder workouts, eaten less, followed the latest plan, or jumped into a short-term fix that promised quick relief. And when it does not work, the conclusion often feels personal. Something must be wrong with me. The truth