Menopausal women not on HRT often present with extremely low calorie intakes and excessive exercise, leading to negative health outcomes.

“unfortunately for the women that aren't proactive and aren't on some kind of — hormone replacement therapy we tend to see those women coming in with extremely low calorie intakes and extreme exercise output so it's like they're burning the candle at both ends and they're feeling frustrated because they're like I already eat nothing you know I'm training multiple times a day I'm doing all this cardio and I just I can't lose fat or and I've only gotten fatter you know during this process”