This is the conversation that changes everything for my high-achieving clients. Jen came to me after years of keto and extreme restriction, eating just one meal every 48 hours and watching the scale climb higher. She was convinced her metabolism was completely broken. In my 20+ years as a nutritionist and as a 49-year-old woman who understands perimenopause intimately, here’s what I see with my driven clients: 👉they put immense pressure on themselves, their HPA axis is dysregulated from chronic stress, and when something isn’t working, they go to extremes. But with adrenal stress comes thyroid dysfunction, they’re intimately connected. The truth? Her thyroid had downregulated so severely from chronic carb restriction that her body was in pure survival mode, hoarding every single calorie. What most high-performers don’t realize: Your thyroid NEEDS carbs to convert T4 to active T3. Without this conversion, your metabolism crashes. Chronic stress + under-eating = metabolic disa...