Episode 247: The Menopause Metabolism Shift: How Foundayo Changes the Game

I hear this from so many of my patients: "Dr. Shelly, I haven't changed anything—not my diet, not my exercise—but I'm gaining weight and my body just doesn't respond the way it used to." If you're a woman in your 40s or 50s, you're probably nodding right now.

In this episode, I'm walking you through exactly why menopause causes weight gain, why it has nothing to do with willpower, and what breakthrough new research reveals about Foundayo—an oral GLP-1 medication—and how it helps restore the biological signals that become harder to access during this life stage.

I'm sharing real data from the 2026 American Diabetes Association Scientific Conference, including results from the ATTAIN 1 and ATTAIN 2 clinical trials that show meaningful weight loss across all menopausal stages.

But here's what matters most: the goal during menopause isn't just weight loss—it's aging healthy.

You'll learn exactly what that looks like and what you need to focus on right now.

Episode Highlights:

What menopause actually is (

How estrogen decline drives abdominal fat storage and insulin resistance

Why muscle loss and poor sleep compound weight gain

How GLP-1 medications work—and what they don't do

The ATTAIN trials: weight loss results before, during, and after menopause

Strength training, protein intake, and the non-negotiables for sustainable results