Fit and Fabulous at Forty and Beyond with Dr Orlena
Dr Orlena Kerek weight loss coach

Latest episode
373 episodes
- Is your breakfast keeping your menopause belly?
If you're over 40 and the scales won't budge even though you're doing "everything right," the problem might not be what you're eating. It might be when you start.
In this episode, I explain why I believe breakfast is one of the most important meals of the day in menopause, and why skipping it could be working against you.
Inside this episode, you'll discover:
✨ Why menopause changes the game. Insulin resistance and cortisol team up to store abdominal fat, and how your first meal can help break that pattern.
✨ The 30g + 10g breakfast formula. 30 grams of protein and 10 grams of fibre, with simple ideas for what that looks like (including exactly what I eat every day).
✨ Why rhythm matters. How a pre-workout snack, a steady eating window and a strong circadian rhythm help you protect muscle, steady your energy and feel like yourself again.
You'll also hear how to beat the 3pm energy crash, what to avoid first thing in the morning, and where intermittent fasting fits.
This isn't about restriction or willpower. It's one small shift that can make a big difference to your energy, your cravings and your routine.
👉 Want the full system? Watch my video, Stop Dieting and Start Thriving.
👉 Ready for support putting it into practice? Book your Menopause Thrive Assessment, a one-to-one chat where we look at what's going on for you and whether I can help.
Press play, then go enjoy a proper breakfast. 🥣
Free trial of Dr Orlena´s Menopause Thrive Community:
A doctor-led community for women done with menopause belly, broken sleep and flat energy — and done starting over.
Inside:
⚡ Menopause Habits That Stick: 14-day sprint
🥗 48 Menopause Thrive Recipes
✅ The Menopause Thrive Checklist
🩺 Weekly live Q&A with me
👊 Access to me, here daily
🤝 Women who get it
Free trial: https://www.skool.com/dr-orlena-menopause-thrive/about - Ever hit 3pm and suddenly need something sweet — even though you had lunch a couple of hours ago? You're not lacking willpower. In perimenopause and menopause, your body becomes more sensitive to cortisol and more resistant to insulin, and that combination makes sugar cravings hit harder than ever.
In this episode, Dr. Orlena breaks down exactly what's driving that energy slump and how to make it disappear — often almost completely. You'll learn:
🍎 Why cravings are never just about sugar — how nutrition, movement, sleep, and emotional wellness all feed into that 3pm crash
🍎 The simple "celery test" that instantly tells you whether you're actually hungry or just craving
🍎 Where to start if this feels overwhelming — the two changes that get you 50-60% of the way there
If you've been white-knuckling your way through the afternoon slump and then beating yourself up over the biscuit tin, this episode will change how you think about it completely.
Free trial of Dr Orlena´s Menopause Thrive Community:
A doctor-led community for women done with menopause belly, broken sleep and flat energy — and done starting over.
Inside:
⚡ Menopause Habits That Stick: 14-day sprint
🥗 48 Menopause Thrive Recipes
✅ The Menopause Thrive Checklist
🩺 Weekly live Q&A with me
👊 Access to me, here daily
🤝 Women who get it
Free trial: https://www.skool.com/dr-orlena-menopause-thrive/about - Does exercise feel a little more complicated now that you're in perimenopause or menopause?
Maybe the things you used to do aren't giving you the same results. Maybe you're wondering whether you should be lifting weights, doing HIIT, walking more, working on your bones—or somehow finding time to do all of it!
The good news? You don't need seven different workouts or hours in the gym.
In this episode, I’m breaking down the exercise essentials for women in menopause and showing you how to create a simple system that supports your health, strength, fitness and longevity—without exercise taking over your life.
We’ll talk about:
Why strength training matters so much after menopause—and why it’s about far more than how your body looks.
Why getting your heart rate up is a good thing, and how high-intensity exercise can improve cardiovascular fitness and body composition.
How to protect your bones with the right kind of weight-bearing and impact exercise.
Why movement throughout the day matters, even if you already exercise regularly.
The overlooked role of mobility, flexibility and relaxation.
And perhaps most importantly, how to put it all together into a system that works for you.
I’ll also share why I believe enjoyment should be at the heart of your exercise routine—and why starting small is not “doing it wrong.” It’s how you build something you can actually sustain.
So whether you're starting from zero, getting back into exercise, or already have a fitness routine but aren't sure if you're doing the right things for your menopausal body, this episode will help you work out what really matters—and what doesn't.
Let's get started!
Free trial of Dr Orlena´s Menopause Thrive Community:
A doctor-led community for women done with menopause belly, broken sleep and flat energy — and done starting over.
Inside:
⚡ Menopause Habits That Stick: 14-day sprint
🥗 48 Menopause Thrive Recipes
✅ The Menopause Thrive Checklist
🩺 Weekly live Q&A with me
👊 Access to me, here daily
🤝 Women who get it
Free trial: https://www.skool.com/dr-orlena-menopause-thrive/about - Is skinny always healthy after menopause? Stop relying on the scale as your only health indicator and learn why being fit matters more than thin.
Many people equate being thin with being healthy, but this is a dangerous misconception. This episode breaks down the reality of body composition versus weight, specifically addressing why being slightly heavier but physically active often leads to better health outcomes than being thin and unfit. It is essential to look beyond the number on the scale to understand what your body actually needs to thrive.
If you have ever felt discouraged by your weight despite maintaining a consistent fitness routine, this perspective is for you. We discuss why health indicators like strength and cardiovascular endurance provide a much clearer picture of your wellness than your weight alone. By shifting your focus away from the scale and toward functional movement, you can build a more sustainable and honest approach to your fitness journey.
Cardiorespiratory fitness, body mass index and mortality: a systematic review and meta-analysis: https://pubmed.ncbi.nlm.nih.gov/39537313/
Dr Orlena´s Menopause Thrive Community: https://www.skool.com/dr-orlena-menopause-thrive/about
Free trial of Dr Orlena´s Menopause Thrive Community:
A doctor-led community for women done with menopause belly, broken sleep and flat energy — and done starting over.
Inside:
⚡ Menopause Habits That Stick: 14-day sprint
🥗 48 Menopause Thrive Recipes
✅ The Menopause Thrive Checklist
🩺 Weekly live Q&A with me
👊 Access to me, here daily
🤝 Women who get it
Free trial: https://www.skool.com/dr-orlena-menopause-thrive/about Menopause Made Exercise Feel Pointless. Here's the Mindset Shift That Changes That
04/08/2026 | 15 mins.Ever been told exercise is good for you and thought... yeah, yeah, I know? In this episode, Dr Orlena tackles the real reason so many women quietly give up on healthy habits: they're waiting to see results that don't show up fast enough, and it feels like it's not worth the effort.
She unpacks why the evidence on exercise is some of the most unanimous in all of health science — cutting your risk of premature death by up to 30% — and why strength training after 30 isn't just about looking toned, it's about staying independent in your 80s and 90s. Plus, the mindset shift that turns "why bother" into "my health is in my hands," and why consistency (not perfection) is the only thing that actually moves the needle.
If you've ever thought about quitting because you're not seeing the scale move, this episode is your permission slip to keep going — for the right reasons.
References:
WHO Activity page: https://www.who.int/news-room/fact-sheets/detail/physical-activity?c=MY2024&utm_source=chatgpt.com
Cardiovascular fitness: https://bjsm.bmj.com/content/58/10/556.long
Health span: https://www.bmj.com/content/368/bmj.l6669
14 years: https://pubmed.ncbi.nlm.nih.gov/29712712/
Strength training: https://pubmed.ncbi.nlm.nih.gov/35228201/
Free trial of Dr Orlena´s Menopause Thrive Community:
A doctor-led community for women done with menopause belly, broken sleep and flat energy — and done starting over.
Inside:
⚡ Menopause Habits That Stick: 14-day sprint
🥗 48 Menopause Thrive Recipes
✅ The Menopause Thrive Checklist
🩺 Weekly live Q&A with me
👊 Access to me, here daily
🤝 Women who get it
Free trial: https://www.skool.com/dr-orlena-menopause-thrive/about
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About Fit and Fabulous at Forty and Beyond with Dr Orlena
Welcome to Your Journey Back to Vibrant HealthIf you're a woman over 40 who feels like her body has stopped cooperating—despite doing everything that used to work—you're in the right place.This podcast is for you if you're juggling aging parents, demanding kids, a stressful career, and the hormonal rollercoaster of menopause that's turned your metabolism upside down. Maybe you're frustrated because the diet and exercise routine that worked in your 30s now feels completely useless. Those shifting hormones aren't just affecting your mood—they're making it harder to lose weight, build muscle, and maintain the energy you once had. You're not broken, and you're definitely not alone.I know you want more than just to lose weight. You want to feel like yourself again—strong, vibrant, and confident in your own skin. You want the peace of mind that comes with knowing you're truly taking care of your long-term health.Here's what makes this different: I don't believe in depriving yourself or following someone else's rigid rules. Instead, I'll guide you through my proven 4-pillar system that transforms women's lives from the inside out:🌱 Nourishing Nutrition - Plant-forward eating that fuels your body (yes, you can still enjoy meat!), focusing on 30g protein per meal, 30g fiber daily, and 30 different plants weekly💪 Movement That Lights You Up - Exercise you actually enjoy, plus the specific strength and interval training that works with your changing hormones instead of against them😴 Restorative Sleep - The foundation that makes everything else possible🧠 Emotional Wellness - Breaking free from stress eating, self-criticism, and the habit of putting everyone else firstEach episode gives you practical, science-backed strategies that acknowledge the reality of your hormonal changes and fit into your real life—not some fantasy version where you have unlimited time, zero responsibilities, and a 25-year-old's metabolism.We'll tackle the biggest obstacles holding you back: feeling too busy to prioritize yourself, lacking a clear system that works, and turning to food when life gets overwhelming.My goal? To help you build "oak tree" habits—strong, sustainable practices that become part of who you are, not another thing on your to-do list.If you're ready to stop fighting your body and start working with it, welcome home. Your most vibrant, confident self is waiting.
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