Around age 45 or so, many women start to notice that menopause belly, muffin top or “menopot”. Abdominal fat, especially visceral fat, is biochemically different and more metabolically active than fat stored in other areas of the body. Visceral fat even secretes more inflammatory chemicals and hormones than other types of fat. So, preventing or reversing abdominal fat is not just about vanity, it’s about our overall health, because abdominal fat is consistently linked with insulin resistance, impaired glucose control and a higher risk for CVD and breast cancer. So, how can we get rid of menopausal belly fat? Understanding hormonal changes associated with perimenopause and menopause can be helpful in knowing when and how to effectively intervene.