This is the part your doctor skipped. Your belly fat after 40 isn’t fat in the way you think. It’s visceral fat and it acts as an active endocrine organ producing inflammation and hormones that are making your insulin resistance worse every single day. Here’s the chain reaction nobody explains. When estrogen drops in perimenopause, your body shifts where it stores fat. Instead of hips and thighs, it moves to the abdomen. That’s visceral fat. It wraps around your organs. Visceral fat produces inflammatory cytokines. Those cytokines block your cells from responding to insulin. So insulin resistance increases. Not because you ate something wrong. Because the fat itself is creating the resistance. At the same time, chronic inflammation from stress, poor sleep, gut dysbiosis, and processed food is doing the same thing. Inflamed cells cannot hear insulin’s signal. So the pancreas produces more. More insulin means more fat storage. More fat means more inflammation. More inflammation me...