The Science Behind Menopause Weight Gain and How to Combat It

Base Science Team, Maurice Beer M.D.
March 27th, 2023 · 7 min read
Medically Verified
Ladies, we all know that aging is an inevitable part of life. But, did you know that women approaching menopause often experience weight gain due to pesky hormonal changes? As estrogen levels drop, muscle mass decreases, and body fat increases, making it more difficult to maintain a healthy weight. Fear not! Fixing nutrition deficiencies and hormonal imbalances can be the secret to managing menopause weight gain. Dr. Smith emphasizes that fixing nutrition deficiencies and hormonal imbalances is the secret to managing menopause weight gain. “With targeted nutrient testing and a personalized nutrition plan, women can take control of their health, live longer, and look amazing while doing it,” she says. “So don’t let menopause control your weight! Keep reading to learn how testing and targeted nutrition can help you stay healthy and thriving through menopause and beyond.

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Understanding Menopause and Perimenopause

During perimenopause and menopause, hormonal fluctuations occur due to changes in estrogen and progesterone levels. Estrogen and progesterone are hormones produced by the ovaries that regulate the menstrual cycle and affect the body in many other ways. As women age, their ovaries produce less estrogen and progesterone, which can cause the symptoms of perimenopause and menopause.
Perimenopause can last for several years and is characterized by irregular periods and other symptoms. Women may experience symptoms such as hot flashes, night sweats, mood swings, insomnia, and vaginal dryness. These symptoms can vary in severity and frequency and can have a significant impact on a woman’s quality of life.
Menopause is defined as the point at which a woman has gone 12 months without a menstrual period. Common symptoms of menopause include hot flashes, mood changes, and weight gain. Other symptoms can include vaginal dryness, decreased libido, and urinary incontinence. Women may also be at increased risk of developing osteoporosis and heart disease after menopause.

The Connection Between Weight Gain and Hormones

Did you know that hormonal changes during menopause can cause unwanted weight gain? But don’t worry, there’s hope! Measuring the levels of progesterone and estradiol, two hormones that play a vital role in regulating metabolism can help you manage your weight and stay healthy.
During menopause, hormonal fluctuations can cause symptoms like hot flashes, mood changes, and yes, weight gain. That’s where progesterone and estradiol come in - these hormones work together to maintain a healthy reproductive system and regulate the menstrual cycle. However, when levels of these hormones drop, it can cause all sorts of imbalances, including weight gain.
It’s important to note that there are other hormones and vitamins besides progesterone and estradiol that can affect weight loss during menopause. Here are a few examples that may surprise you:
  • Thyroid hormones: During menopause, low levels of thyroid hormones can contribute to weight gain, fatigue, and other symptoms. This is because these hormones help regulate your metabolism, which can slow down during menopause. By measuring levels of thyroid hormones like TSH, T3, and T4, you can see if an underactive thyroid is contributing to your weight gain.
  • Cortisol: Menopause can be a stressful time, and too much stress can lead to high levels of cortisol, a hormone produced by the adrenal glands. This can increase your appetite and cause you to crave unhealthy foods, making it harder to lose weight. Measuring cortisol levels with a simple saliva test can help you identify if stress is contributing to your weight gain.
  • Vitamin D: Low levels of vitamin D have been linked to obesity and insulin resistance, which can contribute to weight gain during menopause. This is because vitamin D is important for maintaining bone health and helps regulate insulin levels. A blood test can help determine if you need to supplement your vitamin D intake to support your weight loss goals.
  • HbA1c: Menopause can also lead to changes in blood sugar levels, which can contribute to weight gain and other health issues. HbA1c measures your average blood sugar levels over the past 2-3 months, and high levels can indicate that you need to make lifestyle changes to support your weight loss goals.
Testing these hormone levels and vitamins can give insight into your hormonal balance or deficiency and guide dietary and lifestyle changes to support healthy weight management. For example, it may be worth increasing your intake of foods that support healthy thyroid function or phytoestrogen-rich foods, depending on which hormone is imbalanced.
But managing your weight during menopause isn’t just about hormones - it’s a comprehensive approach that includes a healthy diet, regular exercise, and stress management techniques.

Nutritional Tips for Managing Weight Gain During Menopause

One practical approach to managing weight gain during menopause is through diet. Nutritional choices can have a significant impact on hormone balance, energy levels, and overall well-being.
  • Intermittent fasting is a dietary practice that involves limiting food intake to a specific window of time each day. This approach can help regulate hormones and manage weight, making it a popular strategy for menopausal women.
  • Another dietary tip is to avoid snacking, as this can disrupt hormone balance and lead to weight gain. Instead, focus on consuming beneficial carbohydrates, which are important for energy and hormone balance.
  • Reducing portion sizes is also key. One easy way to do this is by switching from a big plate to a small plate. This simple strategy can help reduce the amount of food consumed, without feeling deprived.
  • While protein is an important nutrient, too much protein can disrupt hormone balance. Instead of relying on meat as the main source of protein, consider incorporating alternative sources like beans, lentils, and nuts.
Food Menopause

Keeping Active During Menopause: A Guide to Exercise and Hormonal Health

In addition to nutrition, exercise is another key factor in managing weight gain during menopause. Exercise helps boost metabolism, promote fat loss, and improve overall health. Here are some workout tips to keep in mind:

Moderate Exercise Is Better

Research shows that moderate exercise, such as brisk walking, cycling, or swimming, can help regulate hormones and manage weight gain during menopause. Women should aim for at least 150 minutes of moderate exercise per week, or 30 minutes a day, five days a week.

Strengthen Your Pelvic Floor

The pelvic floor muscles support the bladder, uterus, and rectum, and are often weakened during menopause. Strengthening the pelvic floor muscles can help reduce incontinence, improve sexual health, and provide support for the body during exercise. Kegel exercises, squats, and planks are all great exercises for strengthening the pelvic floor muscles.

Listen to Your Body

It’s important to listen to your body during exercise and modify your workout as needed. Women should start slow and gradually increase the intensity of their workout. If a particular exercise causes pain or discomfort, it’s best to stop and try something else.

Get Your Ligaments in Shape

During menopause, women are at increased risk for joint pain and injury due to the loss of estrogen. Strength training exercises can help build muscle and protect the joints. Women should aim to incorporate resistance training exercises, such as lifting weights or using resistance bands, at least twice a week.

Other Ways to Manage Weight Gain and Feel Balanced

While nutrition and exercise are key components of managing weight gain during menopause, there are other strategies women can use to feel balanced and improve overall well-being.

Manage Stress

Stress can affect hormone balance, leading to weight gain and other health problems. Women going through menopause should make stress management a priority. Meditation, deep breathing exercises, yoga, and regular massages are all great ways to reduce stress and promote relaxation.

Prioritize Sleep

Adequate sleep is essential for hormone regulation and weight management. Women should aim for at least seven to eight hours of sleep each night. Creating a relaxing bedtime routine, such as taking a warm bath or reading a book, can help promote restful sleep.
Sleep Menopause

Stay Hydrated

Drinking plenty of water is important for hormone balance and weight management. Women should aim to drink at least eight glasses of water per day. Adding lemon or lime to water can help improve the taste and provide additional health benefits.

Collagen Supplements

Collagen is a protein that helps support healthy skin, hair, nails, and joints. It also plays a role in hormone production. Women going through menopause may benefit from taking collagen supplements or powder to support overall health and hormone balance.

A Practical Daily Example for Hormonal Health and Menopausal Weight Management

Here’s a sample daily routine that incorporates the tips and strategies discussed in the previous sections:
Breakfast:
  • Two eggs cooked in olive oil
  • ½ avocado
  • A small bowl of berries
Lunch:
  • Grilled chicken breast
  • Large salad with mixed greens, tomatoes, cucumbers, and 1 tablespoon of olive oil and vinegar dressing
Snack:
  • Small apple
  • 1 tablespoon of almond butter
Dinner:
  • Grilled salmon
  • Roasted Brussels sprouts with garlic and lemon
  • Small sweet potato
Workout Routine:
  • 30-minute brisk walk five days a week
  • Two days of resistance training (lifting weights or using resistance bands)
  • Pelvic floor exercises three times a week

When Hormone Testing Falls Short: Additional Strategies for Managing Menopausal Symptoms

It’s important to remember that hormone testing is not a perfect science and that other factors may be at play. For example, stress and poor sleep can contribute to weight gain and disrupt hormone balance. Additionally, certain medications and medical conditions can also affect weight and hormone levels.
If you’re still experiencing weight gain and other symptoms despite normal hormone tests, it’s important to talk to your healthcare provider. They can evaluate your overall health and make recommendations for further testing or treatment.
In addition to seeking medical advice, there are several strategies you can use to manage weight and improve overall well-being. Prioritizing stress reduction, adequate sleep, and a healthy diet and exercise routine are all important steps to take.
Conclusion Menopause

Conclusion:

Menopause and perimenopause are challenging stages of life for many women, and weight gain is a common concern. Hormonal fluctuations during these stages can lead to changes in metabolism and body composition, making weight management more difficult.
However, by understanding the role of hormones in weight gain and implementing practical lifestyle strategies, women can manage their weight and improve their overall well-being. Prioritizing moderate exercise, a healthy diet, stress reduction, adequate sleep, and hydration are all key steps to take.
Remember that weight gain during menopause is not your fault, and it’s important to be kind to yourself as you navigate this challenging time. With the support and the right tools, you can successfully manage your weight and feel your best during menopause and beyond.

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