09/04/2026
When most people think about belly fat, they're thinking about the fat they can pinch.
But the fat that concerns me most is the fat you can't see.
Visceral fat surrounds your internal organs and is linked to insulin resistance, heart disease, type 2 diabetes, fatty liver disease, and chronic inflammation.
During perimenopause and menopause, changing estrogen levels make women more likely to store fat in this area. That's one reason your waistline may change even if the number on the scale doesn't.
The goal isn't simply to lose weight.
It's to reduce visceral fat, preserve muscle, and improve your metabolic health.