The Coherence Code Podcast 130: Unwanted Weight Gain in your 40s and Older with Dr. Nicky Keay
In this episode, Dr. Nicky Keay returns to the Conscious Fertility Podcast to explore perimenopause and menopause, addressing unwanted weight gain, hormonal fluctuations, sleep disruptions, and emotional changes. Dr. Keay breaks down why lifestyle shifts, mindful nutrition, exercise adjustments, and personalized hormone therapy are key to thriving during this transition.
She highlights how understanding your body's unique hormonal rhythms can empower you to make informed choices about your health. Dr. Keay also offers practical strategies to manage symptoms naturally before considering medical interventions.
Learn actionable strategies to reclaim your energy, balance your hormones, and embrace this next chapter with resilience.
Key takeaways:
- Progesterone drops first: In perimenopause, declining progesterone—not estrogen—is often the root of many symptoms.
- Lifestyle over quick fixes: Nutrition, strength training, and stress management are foundational before turning to hormone therapy.
- Low-dose, bioidentical HRT: When needed, micronized progesterone with minimal estrogen is preferred to support hormone health.
- Individualized care is key: Perimenopause symptoms vary widely; there’s no one-size-fits-all solution.
- Positive reframing: Menopause isn’t an illness—it’s a natural transition that can be navigated with empowerment and support.
Dr. Nicky Keay’s Bio:
Dr. Nicola Keay is a medical doctor specializing in exercise endocrinology, with expertise in hormone health optimization for athletes, dancers, and individuals experiencing perimenopause and menopause. She integrates her clinical experience and medical research in endocrinology, exercise, and sport medicine to offer personalized approaches to hormone health. Dr. Keay studied medicine at Cambridge University, became a Member of the Royal College of Physicians, and contributed to developing an anti-doping test for growth hormone. She holds an Honorary Clinical Lecturer position at University College London, where she researches the impacts of lifestyle, nutrition, and exercise on hormone networks. She is the author of Hormones, Health and Human Potential and editor of Myths of Menopause, as well as a regular keynote speaker at international conferences. Dr. Keay is a member of the British Menopause Society and works on developing a UK menopause support program, InTune. She is a medical advisor to Scottish Ballet and enjoys ballet, swimming, tennis, cycling, and windsurfing.
Where To Find Dr. Nicky Keay:
- Website: https://nickykeayfitness.com/
- Instagram: https://www.instagram.com/drnickykeay
- Facebook: https://www.facebook.com/nickykeayfitness
- Books: https://nickykeayfitness.com/new-book/
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🌸 Masterclass & Community:
MASTER YOUR MENOPAUSE HORMONES : https://learninghub.acubalance.ca/master-your-menopause-hormones/
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DISCLAIMER: By listening to this podcast, you agree not to use it as medical advice to treat any medical condition in either yourself or others. This podcast offers information to help the listener cooperate with physicians, mental health professionals or other healthcare providers in a mutual quest for optimal well-being. We advise listeners to carefully review and understand the ideas presented, and to consult your own physician for any medical issues that you may be having. Under no circumstances shall Acubalance, any guests or contributors to the Conscious Fertility podcast, or any employees, associates, or affiliates of Acubalance be responsible for damages arising from the use of the podcast.