10/29/2025
I really thought we had moved beyond the "eat less and exercise more" narrative, but I guess not. Maybe it's just me, but lately this message has been noisier than ever.
The problem is that it's been packaged as a "solution" to women's concerns about perimenopause and menopause health, which is incredibly misleading and frankly conflicts with everything we know about the impact of malnutrition or undernutrition, low energy availability, and restrictive eating disorders.
Adequate nourishment (and physical activity) is vital for aging. Chronically eating less (for any reason) could be detrimental at a time when there is already an increased risk of nutrient deficiencies and a reduced ability to fight disease.
You can focus on food quality without being on a diet (or restricting your calories). I get it that this may not result in weight loss, and that feels frustrating and confusing in today's weight-centric culture. But doubling down with the "eat less" message is not a more effective approach.
The downside of a very low-calorie diet is significant—and potentially irreversible. But, I really don't think any of us want to be counting calories in our 80s or suffering the consequences of chronic undereating in our 40s, 50s, 60s and 70s.