Menopause Weight Gain and Brain Fog: Could Hormone Therapy Help?

The Wellness Files with Kari Beal
Brain fog, sleep changes and weight gain can leave women wondering whether perimenopause or menopause is to blame and what might help.
Published: Nov. 11, 2026 at 11:46 AM EST|Updated: 19 hours ago

GREENVILLE, S.C. (FOX Carolina) - What happens when perimenopause brings brain fog, sleep changes or weight gain—not just hot flashes? Kari Beal talks with board-certified nurse practitioner Kimberly Sadri of Bloom Wellness about menopause symptoms, hormone replacement therapy, testing and exercise. They explore HRT risks and benefits, testosterone for women, weight changes and the role of resistance training. Watch for questions to help you start an individual conversation with your health care provider.

00:00 — Introduction

01:05 — Meet Kimberly Sadri

02:32 — What is hormone replacement therapy?

04:14 — Perimenopause symptoms beyond hot flashes

05:44 — When to seek care and the limits of hormone testing

06:49 — HRT safety, breast cancer and individual risks

11:33 — Hormone blood tests

14:34 — Bioidentical vs. synthetic hormones

17:00 — Testosterone for women

20:23 — Menopause and weight changes

23:37 — GLP-1 medications and menopause

24:50 — An individualized approach to care

25:48 — Exercise, resistance training and HIIT

29:39 — Closing

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