Hot flushes might get all the headlines — but perimenopause and menopause are about so much more. From sudden weight changes and stubborn belly fat to creeping cholesterol, mood shifts, brain fog, and restless nights, this stage of life can feel confusing and overwhelming.
To cut through the noise, I’m joined by Dr Niamh Leonard (@mymenopausedoctor), a Perth-based GP and member of the Australian Menopause Society who specialises in women’s health and hormones. Together, we unpack what’s really happening in your body during perimenopause and menopause — and how you can take back control of your health.
Inside this episode, you’ll learn:

The real definitions of perimenopause and menopause (and how early symptoms can start)
Why weight, cholesterol, gut issues and brain fog change so dramatically in midlife
How to know if symptoms are hormonal or something else
The latest evidence on hormone therapy — including breast cancer risk myths, compounded hormones, and body-identical options
Which blood tests and health checks matter most after 40
The crucial role of bone health, strength training, and nutrition for long-term vitality
How to advocate for yourself if your symptoms are dismissed by doctors

Whether you’re in the thick of it now or preparing for the years ahead, this conversation will give you clarity, confidence, and practical strategies to feel more in control.
Dr Niamh also shares where you can connect with her for consultations and resources, including @mymenopausedoctor on Instagram.
This episode is packed with evidence-based wisdom and compassionate advice — so you can navigate midlife with strength, resilience, and support.
Thanks to Garmin for supporting today’s episode.
Leanne uses the new Vivoactive 6 smartwatch to track her sleep, stress, energy, workouts and menstrual cycle — all from her wrist. With personalised insights like Body Battery™ and smart wake alarms, it’s a powerful way to tune into your body, not just your to-do list.

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