During my years in endocrinology and obesity medicine, I saw firsthand that we often wait far too long to intervene. By the time metabolic conditions are diagnosed, the underlying issues have usually been developing for years.

Risks for insulin resistance, prediabetes, type 2 diabetes, high cholesterol, and other metabolic conditions increase with age—and often rise significantly for women during the menopause transition. I also work closely with women who have PCOS, a condition strongly linked to insulin resistance, and often impacting overall health.

It is never too late to make meaningful changes. With the right strategies, we can identify early trends, intervene sooner, and work to improve—and in many cases, even reverse—metabolic dysfunction.