Perimenopause symptoms can be confusing and tough to deal with. The period, wherein ovaries gradually wind down their business, is marked with symptoms like changes in period cycles, hot flashes and night sweats, mood changes and weight changes. For 44-year-old Danielle Wium, this new change in her body marked the beginning of a transformative journey. Here’s her story.
What led to Danielle’s weight gain
Despite eating healthily and exercising often, Danielle Wium, then 41 years old, felt something was off. It was 2021 – who wasn’t feeling meh? – and Danielle, who’d had thyroid issues in her 20’s, presumed this was the problem. Added to this, “my weight was continuing to increase and I felt emotional and not myself,” she says. “I knew I needed to make a change and seek help.”
Danielle visited Dr Ledivia Strauss at RevitaHealth, a Cape Town-based health-orientated organisation. “She is a compassionate and knowledgeable functional medicine doctor who specializes in supporting women through this phase of life,” Danielle says. After her consultation, her doc put her on a higher dose of thyroid medication. Finally, she felt like she was out of the woods again. “By 2022, I had lost 10 kgs,” she says.
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Danielle’s perimenopause symptoms started
Things were going swimmingly for a few years. But by October 2023, Danielle felt off once again. “ I did not feel myself,” she reflects. “[I had] brain fog, low energy, [I was] emotional and anxious.” She returned to Dr Ledivia, who proceeded to conduct an in-body scan. “My body score was not what I had anticipated,” says Danielle. Instead of revealing a glowing bill of health, they found that although she had lost 14kg over two years, Danielle had also lost 3kg of health-giving muscle, even though she’d been exercising five days a week. The scan also revealed a high body fat percentage.
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How Danielle combatted perimenopause symptoms
Considering Danielle was entering perimenopause, her doctor advised her about changes she could make. “This is when she advised me, considering I am in my mid-life phase, that I needed to include more weight training, less excessive cardio (this spikes my cortisol/stress hormone which contributes to storing abdominal fat),” Danielle explains.
She was also advised to increase her calorie intake since eating less was contributing to a sluggish metabolism. Added to that, Dr Ledivia added some medication to ease the root cause of Danielle’s perimenopause symptoms: a light dose of bio-identical progesterone. “This helped me regulate my menstrual cycles again and help with my symptoms,” she explains.
But Danielle also did her own research – she wanted to know more about how her age impacted how she should approach food and exercise.
She started doing tons of weight training and lowered the frequency of her cardio sessions. “[I focussed on] low reps, progressive overload and repeated the same exercises for at least four to six weeks, increasing the weight I was using instead of changing the programme,” she expands.
As to Danielle’s diet, she leaned into counting her macros and made sure she ate the right amount of protein, carbs and fats. “I was under-eating and avoiding carbs, which is one of the reasons women can’t lose weight in perimenopause,” she says. “Currently I eat between 150-200 grams of protein a day and an average of 2600 calories a day,” she says. In her weight loss phase, she lowered that number to about 2300 calories a day.
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Now, her perimenopause is a breeze
“When I started this health journey in October 2023, I did not think of weight loss,” reflects Danielle. “I wanted to feel better. The body transformation was a bonus.” And what a big bonus it was: “All my perimenopause symptoms improved, I lost visceral fat, I gained 4kg of muscle and lost centimetres all over. I have gotten so strong that I can now do pull-ups and push-ups easily. The best part for me? I’m the strongest and leanest I have ever been. At 44 years old I am in better shape than I was in my 30’s!”
Because her transformation is so inspiring, Danielle is now helping other women around her who want to make changes too. “We have already seen amazing results with the changes they have made. That is extremely rewarding when you can help and guide others.”