Get the Summary of Mary Claire Haver's The Galveston Diet in 20 minutes. Please note: This is a summary & not the original book. Original book introduction: Why is the scale moving in the wrong direction even though I haven't changed my diet or exercise habits? Time and again, this is the question Dr. Mary Claire Haver's patients asked. At first, a practicing OB/GYN, she'd dutifully advise what she'd been taught in medical school: eat less and work out more. But that standard advice didn't solve the problems caused by perimenopause and menopause because back then she—and so many other doctors—hadn't taken into account the physiological factors affecting women. They tend to store fat, they can have a hard time accessing that stored fat as active fuel, and their hormonal fluctuations in midlife exacerbate the situation.