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Liz Greenfield, MS, APRN, IFMCP
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Elizabeth Greenfield — a San Francisco Bay Area clinician specializing in personalized, lab-driven hormone and gut health care for midlife women, differentiated by use of functional testing and DNA me
You are doing everything you are supposed to do.
You are eating well. You are exercising. You are managing your workload and trying to keep your stress in check.
And yet your body is changing in ways that feel beyond your control.
Your energy is not what it was. Your clothes fit differently. Your recovery takes longer. Your brain feels slower, and the cognitive sharpness you have always counted on is just not there the way it used to be.
When you ask your doctor, the answer is usually the same. Your labs are normal. This is just what happens in midlife. Maybe try cutting calories. Maybe add more cardio. Maybe accept that this is just aging.
But here is what that conversation is missing: your body composition in midlife is not about willpower or calories. It is about hormones, stress physiology, mitochondrial function, and metabolic signaling. And the standard labs most clinicians run do not tell that story.
Body composition science looks at what is actually happening beneath the surface. It measures lean mass, fat mass distribution, visceral adiposity, and metabolic health markers that reveal how your body is responding to the hormonal shifts of perimenopause and early menopause. It shows whether cortisol dysregulation is driving muscle loss. Whether insulin resistance is quietly building. Whether inflammation is changing how your body stores and uses energy.
This is not vanity. This is metabolic health. This is biological age. This is the difference between operating at your best and spending the next decade managing symptoms.
On April 23 at 6 PM Pacific, I am hosting a free webinar on women's body composition in midlife. I will walk through what is actually happening in your body during this transition, what the right data can reveal, and what becomes possible when you address the root cause instead of chasing symptoms.
This is for women who want answers, not platitudes. Who want to understand their own biology at a deeper level. Who are ready to see what the data actually says and build a plan around it.
Reserve your spot here:
https://lizgreenfield.kartra.com/page/Womens-Body-Composition-Webinar-2026
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Told 4 times, Apr 10, 2026 – Apr 15, 2026
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The 6-Week Women's Body Composition Program is not a meal plan. It is not a fitness challenge. It is a root cause clinical investigation into what is actually driving the changes in your body.
You will get at home hormone testing, glucose monitoring. A personalized nutrition protocol. Group coaching. And 1:1 clinical consults with a team that has nearly 50 years of clinical experience and treats your biology with the depth it deserves.
This is not about guessing. It is about knowing.
The program starts May 4th. Space is limited to 12 women so we can deliver the clinical depth this work requires.
If you are ready to stop wondering why your body is changing and start addressing the actual cause, book a discovery call: https://lizgreenfield.kartra.com/calendar/book-with-liz
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Most women in midlife are told their weight gain is inevitable. That body composition changes are just part of aging. That they need to eat less and move more.
This is not only unhelpful. It is physiologically incomplete.
Body composition
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You start eating less. You move more. You double down on the discipline that has worked for you your entire life.
And the scale still climbs. Or worse, it stops responding entirely.
This is the moment when most women in midlife are told: eat less, move more, try harder.
But what if the problem isn't willpower? What if it's biology?
When estrogen and progesterone begin to shift, body composition changes aren't about calories. They're about metabolic signaling, muscle loss, insulin sensitivity, cortisol dysregulation, and mitochondrial function. These are measurable, addressable, reversible changes. But they require a different approach.
I don't guess. I measure. I look at hormone levels, inflammatory markers, cortisol patterns, nutrient depletions, and biological age markers. I treat the whole system because in midlife, the body doesn't respond to isolated interventions. Everything is interconnected.
I'm hosting a free webinar on April 23rd at 6 pm PST where I'm walking through exactly what drives body composition changes in midlife, what labs I run that most practitioners miss, and what a root cause protocol actually looks like when you address the full complexity of a woman's biology.
This webinar leads into my 6-week Women's Body Composition Program launching May 4th. I'm taking 12 women. You'll receive clinical depth, precision nutrition tied to objective testing, and an individualized protocol designed around your biology — not a generic plan.
If you're done being told your labs are normal while your body keeps changing, this webinar is for you.
Reserve your spot before it fills.
https://lizgreenfield.kartra.com/page/Womens-Body-Composition-Webinar-2026
#functionalmedicine #perimenopause #womenshormones #womenshealth