Most people begin to consider HRT when menopause-related symptoms become difficult to manage during perimenopause, typically in their late 40s or early 50s. The study reported that using pills or patches significantly increased depression risk in younger women. A 2024 study found that HRT enhanced emotional well-being and sleep quality, especially in women taking it for mood-related symptoms like anxiety. Factors such as age, the duration of therapy, and overall health play critical roles in determining its safety. This group doesn’t accurately represent the experiences of women in perimenopause or those in early menopause who start HRT at a younger age. Hormones are critical regulators of metabolism, appetite, and fat distribution. Many individuals experience gradual weight gain, which can be frustrating and disheartening. Menopause is unavoidable, but weight gain doesn’t have to be. Studies have shown obese women are more likely to report more frequent severe hot flashes than those of a normal weight. This contrasts with the experience of Jessica, a 48-year-old who, after starting HRT, experienced water retention and a slight weight increase. Understanding the mechanics of HRT, evaluating the available therapy types, and considering factors that affect its success are vital for achieving optimal results. Recognizing plateaus as a natural part of the process helps maintain momentum and encourages a reassessment of current strategies under medical supervision. Healthy eating and regular exercise are recommended as effective strategies for managing weight during this period. She graduated magna cum laude from Florida International University with a bachelor's degree in biology and earned her medical degree from St. George’s University in Grenada. Dr. Smythe is a board-certified fellow of the American College of Obstetricians and Gynecologists, and her interests include improving maternal health, ensuring access to contraception, and promoting sexual health. Kara Smythe, MD, has been working in sexual and reproductive health for over 10 years. Committed to the belief that health information should be accessible to all, she is passionate about empowering individuals to make positive changes for their well-being. So, let’s explore the relationship between HRT and weight loss by examining how hormones play a role in weight regulation, letting you decide whether HRT suits you! This phase brings various physical and hormonal changes in a female’s body, including the potential for weight gain. Meanwhile, if chronic stress is impeding your weight-loss efforts, a hormone health specialist will start by analyzing your cortisol levels. For women experiencing menopause or perimenopause, HRT under the guidance of a hormone health specialist can be life-changing. But if you have maxed out your capacity to diet and exercise without seeing the desired results or have hormone-related symptoms that interfere with your ability to make healthy lifestyle changes, it’s time to do more. By helping to build and preserve muscle, it can support a healthier metabolism and assist with body composition.22 Elevated cortisol levels also prevent the body from entering deep sleep, creating a feedback loop.At Harmony Hormone Therapy, we understand that every woman’s journey to health and well-being is unique.Most participants maintained 75% of their initial weight loss, with better cholesterol profiles.Factors like initial weight, baseline health, hormonal balance, and lifestyle changes influence how quickly results appear.Frequent shifts in body temperature can interfere with one’s workout schedule and come in the way of achieving and maintaining desired weight goals.While no one is turned away from the program, WeightWatchers for Menopause is likely best for women 35 and older.Potential risks, including blood clots and cardiovascular concerns, must be discussed with a healthcare provider (Mayo Clinic, 2025). The Centers for Disease Control and Prevention recommends all healthy adults age 18 to 64 aim for 150 minutes of moderate intensity exercise each week to maintain overall health. Practicing good sleep hygiene can help, but if bothersome symptoms keep you up, talk to your doctor. Low-fat dairy, eggs, lean poultry, and fish also make good options. The healthiest sources of protein come from plants, such as beans, nuts, legumes, and soy products, according to the Mayo Clinic. These benefits are greatest if you start taking HRT within ten years of your menopause. There’s evidence to show that taking HRT reduces your risk of cardiovascular disease, including heart attack and stroke. Remember, you don’t need to wait until you’re experiencing severe symptoms before you start taking HRT. For many women, this transition to clothes that are several sizes larger begins around menopause.Choosing HRT is a personal decision, and its effects can differ from person to person.All of these changes together make it easier to gain weight even without eating more.Hormone replacement therapy holds promise as a potential aid for weight loss, particularly for individuals with hormone imbalances or deficiencies.It’s important to understand that these symptoms in women may be related to testosterone imbalance.Seeking medical help for menopause isn’t about resisting a natural process; it’s about finding the right tools to manage this transition comfortably and healthily.Hormone therapy is a powerful ally in preserving or even increasing lean muscle mass. To fight obesity, Medicare — and Medicaid — will cover GLP-1s at a reduced cost starting in mid-2026 This improvement in overall well-being can motivate women to adopt healthier habits and support weight loss efforts. Oestrogen, a hormone crucial in regulating body weight, plays a significant role in a woman's life. HRT works by restoring hormone levels, aiding the management of the intensity and frequency of menopause symptoms, and helping to bring a sense of calm and comfort during this transitional phase. Vibrant Vitality Clinic offers some of the best HRT for weight loss, such as female bioidentical HRT ($249) and male HRT hormone therapy ($249). It’s important to understand that these symptoms in women may be related to testosterone imbalance. The various symptoms of testosterone imbalance are similar in men and women, although women’s symptoms are less pronounced. Progesterone is also often included in hormone replacement treatment (HRT) for women but not for men. Men use testosterone replacement therapy to replenish testosterone levels that fall with age. Testosterone levels in women begin to decline during menopause. The good news is that there are ways to help minimize weight gain and other symptoms during menopause. Many women find that with the right dose and type of HRT, their weight improves and their body shape changes so they lose fat and gain muscle more easily. There is evidence that women who take HRT lose weight as well as improve their metabolism and reduce their future risk of developing type 2 diabetes . Your Care & Account These shifts play a major role in symptoms like hot flashes, mood changes, sleep disruption, and vaginal discomfort. To know what to realistically expect when you start HRT, read on for a week-by-week timeline, as well as how to track changes and when it’s time to check in with your clinician. That doesn’t mean HRT isn’t working; your body just needs time to adjust. Other symptoms often take a bit longer, such as mood ups-and-downs or vaginal discomfort. Meet Winona’s menopause experts, and have your questions answered in real time. Hormone replacement using estrogen could help reduce fat gain in the midsection and improve how the body processes energy. Low testosterone can lead to muscle loss and more body fat, even for people who stay active. Check out this resource to learn more about how hormones affect weight. Even small decreases in thyroid activity can slow down your metabolism and lead to weight gain. This helps explain why many women notice sudden weight changes during perimenopause and menopause, even if they don’t change how they eat. HRT works by trying to keep your hormones at a pre-menopausal level. Studies show that people who use HRT are less likely to put on weight than those who don’t, but it shouldn’t be used as a weight loss solution. You should speak to your doctor about the benefits and risks, as in most cases the type of HRT will not matter if you are worried about your weight. Whereas others may not return to the same weight that they had before menopause, even once it has passed. However, estrogen replacement therapy can help your body redistribute this fat to different areas on your body, rather than your abdominal area. Because estrogen affects how your body distributes fat, low estrogen levels can contribute to gaining fat in your belly area. Declining estrogen levels during menopause can lead to accumulating fat in your belly. While age-related weight gain happens for both men and women, menopausal women specifically may start to notice more fat in their abdominal area. Learn more about how hormone therapy can help you reduce your belly fat during menopause. For example, if you’re using a local form of HRT, like a vaginal cream, you may have fewer side effects compared with taking an oral form that affects your entire body. Not everyone on HRT experiences side effects, and not every form of HRT carries the same risk. And other studies have shown that breast cancer risk may actually go down in women taking certain forms of HRT. My weight gain was out of control, and I tried other programs with no luck. (2001) Course of primary headaches during hormone replacement therapy.I'm gaining my confidence back in my ability to lose weight, and I've lost 3 lbs.In this article, we’ll explore the relationship between HRT and weight loss during menopause, offering insights, benefits, and what you can realistically expect.If you're looking to lose weight, there are several benefits that go beyond...During menopause, your ovaries stop producing the hormones estrogen and progesterone.Women with risk factors can probably safely use a patch or gel form of treatment.And it’s important to remember that starting HRT for weight loss alone is not advisable as it can disrupt hormone levels and come with side effects. The Yellow Card scheme allows you to report suspected side effects from any type of medicine you are taking. Exercising regularly and eating a balanced diet should help you to manage your weight. There's little evidence that most types of HRT make you put on weight. Find out more about side effects of tibolone and how to cope Tailoring hormone therapy to individual needs is crucial for effective management of weight and overall health. Hormonal changes during menopause can make the body insulin resistant, complicating weight management and increasing the risk of type two diabetes. Low estrogen levels during menopause lead to increased hunger and food intake, further complicating weight management efforts. HRT has been shown to positively impact weight loss by addressing hormonal imbalances that often occur with age. These specialists have the expertise to assess your hormone levels accurately and tailor an individualized treatment plan based on your unique needs. Integrating relaxation techniques such as meditation or yoga into your daily routine can contribute to weight loss by effectively managing stress levels. A hormone specialist or healthcare professional can guide you in making dietary choices that align with your hormone levels and goals. When hormone levels are optimized through HRT, individuals may be more motivated to engage in physical activity and make healthier food choices. HRT can help in numerous ways – including helping you lose and maintain a healthy weight – by correcting low hormone levels in the body. It’s understandable if you would rather avoid this treatment, but with proper administration, you can protect your health, relieve menopause symptoms, and lose weight. Hormone replacement therapy (HRT) is a medical treatment that replaces low levels of estrogen. By aiding in weight loss and improving body composition, HRT can help reduce belly fat and abdominal fat, which are common concerns for menopausal women. These conditions are often exacerbated by hormonal fluctuations during menopause, and HRT can help counteract these effects by maintaining more consistent hormone levels. This decline in muscle mass can negatively impact metabolic rate, making it more challenging to lose weight and maintain weight loss. On the other hand, testosterone is involved in the development and preservation of lean muscle mass, which can help increase metabolic rate and support weight management. Estrogen, for instance, plays a critical role in regulating the distribution of body fat, ensuring it is appropriately stored. These substances regulate and coordinate numerous physiological processes, including growth, metabolism, reproduction, mood, and weight regulation. Burn more calories by alternating the pace of your walk, walking more hilly routes, and using hand weights or walking poles for upper body strengthening. Because muscle burns more calories than fat, losing muscle reduces the body’s daily energy needs. These early changes can slow metabolism, increase cravings, and shift where fat is stored. The reason behind this lies in the intricate relationship between estrogen and metabolism. Treating normal aging with testosterone therapy is not advisable. By incorporating hormone replacement therapy into an overall healthy lifestyle, individuals may find the key to unlocking their potential for successful long-term weight management. Finally, another major concern when considering HRT for weight loss is the risk of developing cancerous tumors due to an imbalance in hormone levels. While it is true that certain hormones can aid in controlling hunger and metabolism, the use of such treatments also comes with a range of risks. One way is through hormone therapy, which we will discuss in the next section. We can manage them effectively by acknowledging the impact of these hormonal imbalances on our weight. The answers lie in understanding our unique hormonal profile and tailoring our lifestyle and treatment options to maintain this delicate balance. An imbalance between these two hormones can cause fluid retention and bloating. This is precisely where modern medical advancements have provided a breakthrough. It removes the roadblocks that menopause put in your way. Suddenly, going for a walk, planning healthy meals, or hitting a yoga class doesn't feel like climbing a mountain. When HRT alleviates the crushing fatigue, improves your mood, and lets you sleep through the night, you get your energy back. The lower estrogen levels appear to cause and to increase the redistribution of fat, making a pear-shaped body into an apple-shaped one.He works as a Clinical Copywriter at Numan, leveraging his research and writing abilities to shine a light on the health complications affecting men and women.Menopause can be tough to navigate, with many women feeling like they’re being pulled in multiple directions at once.No, weight gain on HRT is not permanent.Some people have intense symptoms of menopause, while others have mild symptoms.Perimenopause may begin as early as your mid-30s or as late as your mid-50s.When thinking of hormone therapy, most people consider the three main sex hormones — estrogen, progesterone, and testosterone. Dropping levels of estrogen and progesterone don’t cause weight gain. For women, weight gain is fairly common during menopause, but the relationship here isn’t necessarily direct. However, hormone replacement likely won’t impact your weight directly, and it’s no replacement for a healthy eating and exercise plan. Although it’s never too late, getting ahead of the curve and making healthy changes before you enter menopause can make weight maintenance much easier, Koenig says. For women especially, changing hormone levels play a role, but it’s not the whole picture. But it’s not clear how well it works in humans. Social media often refers to berberine as “nature’s Ozempic,” with claims that it’ll help you lose a lot of weight. In addition to eating foods with soluble fiber, taking psyllium daily (either in husk or powder form) can help boost your GLP-1 levels. Fortunately, there are ways to naturally boost your GLP-1 levels. Can estrogen help with weight loss? This means that it will be easier to gain weight while eating the same amount and types of food that we are used to. Menopause is a natural process that women go through as they get older. Hormonal changes can affect mood, appetite, and metabolism. While menopausal weight changes are natural, they often stabilize over time with a personalized approach to care. With informed steps and sustainable lifestyle choices, it can be effectively addressed to support energy and confidence throughout menopause and beyond. You can have your hormone levels tested at a doctor’s office or with an at-home hormone test kit. If you’ve been struggling to lose weight and the scale won’t budge no matter how hard you try, you may be experiencing a hormonal imbalance. TRT is only approved to treat other causes of hypogonadism, where the body cannot produce enough testosterone due to a genetic disorder, medication, injury, infection and other causes. However, this treatment is not approved by the FDA for use in men who experience a decrease in testosterone due to age. Caroline Stanbury Weight Loss Guide: How to Manage Weight with Lifestyle & Tools Our doctor-developed services are designed to help you achieve optimal health and vitality.Hormones used in HRT may be synthetic or bioidentical hormones.When hormones start doing the cha-cha in menopause, many women notice those pesky pounds start settling in around the belly.No single type of HRT works best for weight loss.HRT isn't a magic weight-loss pill — rather, it may help create a more favorable internal environment for weight management when combined with healthy lifestyle changes.Thanks to decreased levels of the appetite suppressant leptin and increased levels of the appetite stimulant ghrelin, you are also far more likely to make poorer food choices and overeat.Even a modest reduction in your weight — for example, losing 5% of your body weight — might improve your condition.Hormone therapy has many benefits, as I mentioned above. When these hormones change, fat tends to build up more around the stomach. Hormones like estrogen, testosterone, cortisol, and insulin have a strong influence on belly fat. It helps bring back hormonal levels that make managing and maintaining weight easier. Restoring testosterone levels with HRT helps make managing weight easier. Low testosterone can lead to more belly fat, less energy, weaker muscles, and a slower metabolism. Marketing reinforces this idea, portraying natural remedies as risk-free alternatives. Working with a healthcare professional can help ensure that HRT is a safe and effective choice for your needs. Bioidentical progesterone (referred to as micronized progesterone or MP) is generally the first-line treatment. Low sexual desire in women is usually driven by a mix of hormonal changes, stress, relationship issues, sexual pain, and other health conditions, so there's rarely a one‑size‑fits‑all… What helps with low libido in women often comes down to understanding the cause and choosing the right treatment, and for some, that now includes O‑Shot therapy. BHRT is a proven, safe therapy that not only combats aging symptoms but can also help minimize the risk of more serious conditions like cancer, cardiovascular disease, diabetes, and osteoporosis. When managed carefully and paired with healthy habits, HRT can help support weight loss and improve overall well-being. HRT is most beneficial for women experiencing moderate to severe menopausal symptoms, such as hot flashes, night sweats, or increased belly fat. This is because the risk of the health problems mentioned above increases naturally with age, and taking HRT could add to this risk. It depends on things such as your age, weight, medical and family history. The risk of serious side effects is small, but does vary from one person to another. MHT can also benefit your health by improving bone density and reducing the risk of fractures. Your doctor can tell you about the changes in your body and offer options for managing your symptoms.Menopausal Hormone Treatment or MHT (also known as Hormone Replacement Therapy or HRT) is the most effective way of improving menopausal symptoms. Most specialists recommend using MHT for up to 4 to 5 years, but this will depend on your individual risks and symptoms. Every individual’s hormonal makeup is unique, making it essential for a healthcare provider to evaluate personal health conditions, history, and lifestyle before initiating hormone therapy. While hormone therapy presents opportunities for weight management, it is not without risks and considerations. Nevertheless, hormone therapy should be prescribed with care, as misuse can lead to adverse effects such as increased risk of diabetes and other metabolic disorders. A meta-analysis in Obesity Reviews showed that testosterone therapy could result in significant reductions in fat mass while increasing lean body mass in older men with androgen deficiency. Working to prevent weight gain and striving to lose excess weight are particularly important after 40, as it can impact the risk of several dangerous health conditions that often arise with age. Many factors affect energy balance in the body, including a variety of hormones that play key roles in balancing metabolism and energy homeostasis. In the simplest terms, weight gain occurs when the energy consumed from food exceeds energy expended through physical activity and the maintenance of basal metabolism and body heat. Recent evidence says that the risks of serious side effects from HRT are very low. Also, explore strength training or weight resistance as this will help build your muscle mass and improve metabolism. BHRT stands for Bioidentical Hormone Replacement Therapy, which means that the hormone supplement exactly resembles the one your body makes, therefore making it “bioidentical”. This essentially supplements your natural hormone levels during menopause to help ease many of the symptoms and health consequences of menopause, including weight gain. The augmentation of both metabolism and vigor makes hormone replacement therapy an important tool for combating the tendency toward weight gain during menopause. During menopause, hormone replacement therapy can play a pivotal role in weight management by accelerating metabolism and improving the body’s ability to burn calories efficiently. The inclusion of testosterone in hormone replacement therapy can be advantageous for preserving an improved body composition during menopause—a key factor in managing weight successfully. Effects of hormone replacement therapy on weight, abdominal fat distribution, and lipid levels in Japanese postmenopausal women - PubMed For example, some women may consider medications like Ozempic for weight management during menopause. While estrogen HRT can be helpful, it’s important to remember that it isn’t a standalone solution for losing weight. Working closely with your healthcare team ensures your treatment plan evolves with your body’s needs. These hormones send signals to the hypothalamus – the brain region responsible for thermoregulation. Frequent shifts in body temperature can interfere with one’s workout schedule and come in the way of achieving and maintaining desired weight goals. Menopausal hot flashes and night sweats are among the first symptoms of hormonal imbalance. Instead of chasing unsupported “detox” trends, we focus on empowering individuals with clinically proven strategies for health and sustainable weight management, grounded in advanced medical science and modern technology. Our approach is rooted in merging cutting-edge telehealth innovations with effective, personalized weight loss solutions, making sustainable weight loss attainable and tailored to the individual. Join us as we uncover the truth behind clove tea’s weight loss claims and highlight what truly supports a healthy transformation. We will delve into the origins of this trend, explore the traditional uses and actual health benefits of cloves, and critically examine the claims surrounding its impact on metabolism and fat loss. Getting started with hormone replacement therapy at Fountain of You MD begins with comprehensive lab testing. Keeping track of these modifications while embracing a healthy lifestyle can support smoother adaptation and aid in managing stress throughout this transition. This period is often characterized by a variety of symptoms, such as mood swings, tiredness, and other indicators, including changes in sexual desire. Variations among individuals when it comes to their reaction to HRT are often significant and depend upon genetic makeup, personal lifestyle choices as well as pre-existing medical conditions. The positive impacts of managing one’s weight with HRT typically become apparent after several weeks have passed. Testosterone may also be added to HRT regimens due to its advantages in preserving muscle mass and aiding fat loss. Bioidentical hormones may be able to do this. They act like chemical messengers; when one cell wants to communicate with another, it sends hormones to do the job. During menopause, your body goes through a lot of changes. They help regulate blood sugar and reduce appetite, making them powerful tools for managing type 2 diabetes and supporting weight loss. Providers can prescribe FDA-approved hormone therapy or non-hormonal medications for sleep, mood, hot flashes, and more. A certified menopause expert reviews your medical history and treatment requests through Wisp’s secure platform and follows up with personalized recommendations; in some states, a brief phone or video call may be required. After selecting your provider, you’ll have a video visit to review symptoms, health history, and treatment goals. This aims to stabilize hormone levels and diminish symptoms like hot flashes and weight gain. If traditional weight loss methods have been ineffective, hormone replacement therapy might be a consideration for weight loss. The interplay of hormonal changes, such as a reduction in estrogen and progesterone during menopause and disruption of energy homeostasis, contributes to weight gain. As a result, hormone replacement therapy might be a beneficial part of your weight loss journey. How Long Do I Stay on Semaglutide for Weight Loss Learn practical tips, lifestyle changes, medical treatments, and when to seek help for better rest during menopause. If you’ve experienced sudden or unintentional weight gain, you should seek medical attention. Before seeking hormone replacement therapy, determine whether a few simple lifestyle changes can help you lose the extra pounds. If you’re struggling to lose weight, your hormone levels may be responsible for those extra pounds — or it might be those late-night snacks or all those Frappuccinos with extra cream. Women who use hormone therapy typically stay on the treatment for five years or fewer. It has been shown to improve body composition by increasing lean muscle mass and reducing fat. Estrogen-only HRT can help regulate metabolic health and may prevent abdominal fat accumulation. After weighing your specific situation, goals, and overall health, they can provide personalized recommendations and develop a treatment plan that aligns with your needs. The Endocrine Society recommends that physicians use the American Heart Association/American College of Cardiology’s online risk calculator to get an overall sense of a patient’s risk for cardiovascular disease. If you think you’re a candidate for both, talk to your doctor about your risk factors for heart disease, says Peeke. I want to see these women put on GLP-1s first, and for them to get into better cardiovascular shape, before they go on MHT.” “But if you have a 50-year-old woman whose BMI is 44, she’s at high risk of developing complications like a heart attack or a blood clot from MHT. “So, their body is sort of decreasing metabolism because it is sensing that it doesn’t need the same energy to feed those muscles.” That can further slow metabolism, according to research, and interfere with weight management. “HRT, by elevating estrogen levels, can bring back the feminine ‘curves.’” Some research suggests estrogen-containing HRT may help to slightly reduce belly fat within a few months of use, Dr. Chuang says. Progestogens (including norethisterone, medroxyprogester , one dydrogesterone and micronized progesterone) are added to the treatment to reduce the risk of cancer of the uterus. Speak with your doctor about other non-hormonal prescription medications.Types of MHT (HRT)MHT is available as tablets, patches, gels or vaginal treatments. MHT may also reduce the risk of a fracture and heart disease for some women. During perimenopause, estrogen levels begin to decline, leading to various symptoms such as hot flashes and mood swings. It may also play a role in weight management by addressing hormonal imbalances that can affect metabolism and fat distribution. Estrogen HRT is a treatment that involves supplementing the body with estrogen to alleviate menopausal symptoms. This care includes visits with a physician and a dietitian, lab work, and, in some cases, weight-loss drugs such as GLP-1s. After a 30-minute virtual appointment with a physician, they’ll develop a treatment plan that includes medication, if appropriate. Gennev is another platform that integrates medical care with ongoing nutrition and lifestyle support from RDs. Versalie SHOP features products for symptoms like hot flashes, dryness, sleep issues, and brain fog. Discover which supplements can support women during menopause, from evidence-backed options like soy and omega-3s to those still being studied for their efficacy. Find out if you're eligible for GLP-1s, and get started on your weight loss journey for as low as $75/month. However, if you’re already displaying symptoms of menopause, it isn’t necessary. Balancing testosterone levels helps increase muscle mass and promotes muscle growth as this androgen is responsible for muscle protein synthesis. It’s time to feel re-energized, revitalized and healthy—it’s time to feel like YOU! There’s just no reason to let changing hormones rule your life. Healthy habits can help reduce the other symptoms of menopause, so grab a friend and take a walk—just get moving! Imbalances or hormone deficiencies can lead to various health issues, including weight gain or difficulty losing weight. To effectively manage weight while on hormone replacement therapy, focus on a balanced diet, regular exercise, stress management, and adequate sleep. Lifestyle changes significantly impact weight gain during menopause; focusing on a healthy diet and regular physical activity can help manage this. Testosterone plays a crucial role in weight management for women by supporting muscle growth, which in turn boosts metabolism and fat storage efficiency. As menopause nears, your ovaries no longer release eggs, and you’ll have your last menstrual cycle. Together, estrogen and progesterone control menstruation. Surgical removal of your ovaries will result in menopause if your surgeon removes both ovaries. You’ll know you’ve reached menopause when you’ve gone 12 consecutive months without a menstrual period. For example, if hot flashes and sweating are your main symptoms, you may want to avoid warm environments or stop eating spicy foods. If you gain weight while on HRT, it’s likely due to other factors like diet, activity levels, or underlying metabolic issues. These changes may help you feel more like yourself, and when you feel better, it’s easier to stick to healthy routines that support weight management. HRT may not be a weight-loss medication, but it can certainly help manage some of the factors that contribute to weight gain, such as poor sleep and fatigue. Monitoring progress is a vital component of successful hormone replacement therapy (HRT). For women who are not candidates for HRT or who prefer to explore other options, there are several alternative approaches to weight management during menopause. The decision to use HRT should be made on an individual basis, taking into account the woman’s symptoms, medical history, and risk factors. Balancing out progesterone and testosterone levels will help mitigate this risk. Just because something is available over the counter doesn’t mean it’s right for everyone. Never try a supplement without first asking your health care provider. One approach may be to start by taking berberine for three months, then have your blood tested to see if your A1C went down and check your weight again. The Potential Benefits of HRT for Weight Management: A Closer Look Your starting weight, health, and lifestyle changes are key. This can improve health by reducing belly fat, which is linked to many health problems. However, it can change how fat is distributed in the body. This raises the risk of heart disease and other health problems. For instance, a drop in estrogen can make belly fat increase. Menopause care begins with advanced lab diagnostics, either completed at home or at a lab, followed by a virtual visit to review results and health history. It’s worth noting that while Nurx has announced plans to launch menopause-specific care, that offering is not yet fully available. A provider will review your online health questionnaire and prescribe medication when appropriate. As always, consulting a medical professional should be your first step when considering whether or not to pursue hormonal therapy for weight management goals. It is therefore essential to discuss any concerns you may have about these side effects with your doctor prior to starting hormone therapy for weight management purposes. These include thyroid dysfunction, reproductive system abnormalities, and even an increased risk of certain cancers depending on which hormones were used during treatment. By making these changes in combination with other factors such as genetics and age, individuals may be able to achieve their desired weight without having to turn to hormone replacement therapy (HRT). A comprehensive health review—including blood work, lifestyle assessment, and hormone levels—can help uncover the underlying issues and inform adjustments to your plan. Addressing hormonal balance with HRT—and combining it with healthy habits- can help improve insulin sensitivity and reduce these risks. This occurs when your body stops responding appropriately to insulin, the hormone that helps regulate blood sugar levels. One of the most significant behind-the-scenes issues tied to weight gain during menopause is insulin resistance. It’s important to remember that HRT is not a direct cause of weight gain, and any weight changes should be discussed with your healthcare provider. Understand your options to improve your health and quality of life. Discover how menopause affects sleep and what you can do about it. GLP-1s and HRT both help postmenopausal women live comfortably. However, a hormone test may provide useful fertility insights when menstruation stops too early. When a woman ages, her fat deposits increase while muscle mass decreases. Around 20% of females may gain about 10% while transitioning into menopause. In their 50s, women gain 1.5 pounds yearly. About 50% of them underwent hysterectomy, and 29% of them had natural menopause. By following these recommendations, women can optimize the effects of hormone therapy and improve their overall well-being. For effective and safe results, the dosage of hormone replacement therapy should be adjusted according to one’s needs and reevaluated regularly through hormonal level testing. Various forms of hormone replacement therapy may be considered, taking into account individual factors like age, period regularity, and other risk factors. So, while everyone’s body reacts differently, HRT may help keep some extra weight at bay. While one specific combo was linked to a slight increase, other combinations actually showed weight loss. Even more encouraging, a review of 10 studies showed that most HRT regimens don’t lead to weight gain. Menopause brings metabolic changes, a slower metabolism, and shifts in fat distribution, especially around the abdomen. The hormone has a beneficial effect on body mass index (BMI), overall body fat content, and the proportion of lean body mass.Most women can benefit from testosterone replacement.Get updates about the lastest news and advice about our services and womens healthExercise can help lose belly fat, especially when combined with a balanced diet and healthy lifestyle.And at the same time, many women in midlife find themselves moving less than they did when they were younger, adding to the potential for weight gain.As weight loss isn’t guaranteed with being on HRT, weight gain also isn’t guaranteed if you go off of it.Furthermore, we will address the potential risks and limitations of relying on such remedies.For women, it typically involves a combination of testosterone, estrogen and progesterone.Find out what's known — and not known — about testosterone therapy for normal aging.” “The reality of menopause weight gain,” “Hot flashes.” Therapeutic Equivalence: Ensuring Safe and Effective Drug Substitutions “Hormones exist in a bell curve, in the sense that low and high levels of hormones can have the same symptoms,” says Tara Scott, M.D., an OB-GYN specializing in menopause. According to a 2021 American Journal of Pathology study, HRT may improve insulin sensitivity in perimenopausal women and make it easier for the body to burn fat for weight loss. By stabilizing hormone levels, HRT helps your cells break down fat more efficiently, which can potentially lead to weight loss, Matthews says. When these hormones fluctuate and eventually decline during the menopause transition, fat storage shifts to the abdomen, metabolism slows, and insulin resistance increases 1. Hormones like estrogen, progesterone, and testosterone help regulate metabolism, body fat distribution, and appetite. It may also help increase GLP-1 levels. These effects may be related to curcumin’s effect on GLP-1. One small study in people with Type 2 diabetes showed that taking 1,500 mg of curcumin daily reduced weight and blood sugar. It also seemed to improve insulin and cholesterol levels. The most common cause of low estrogen is age. Males with too much estrogen may experience sexual dysfunction. Sometimes, low estrogen is a sign of a condition that slows your sexual development, which can make it harder to become pregnant. However, the thyroid can be underactive, leading to the body’s metabolism slowing down and weight gain, or overactive, where the metabolism speeds up. It produces hormones that regulate the metabolism of the body’s cells. There is a small amount of evidence that suggests that testosterone has a significant and positive influence on body mass index (BMI), body fat, weight, lean body mass and fat mass. All in all, if your menopausal symptoms are under control, this will mean it is much easier to manage your weight and build a healthier body as you move forward. Other research indicates that while HRT doesn’t contribute to weight loss, it can cause weight redistribution, meaning that abdominal fat reduces as deposits go elsewhere in the body. This approach is most commonly used in specific medical conditions such as menopause, andropause, or hormonal imbalances, but it has also gained traction in the realm of weight loss. The combination of HRT and GLP-1 medications represents a new era in women’s health—one that treats both the hormonal and metabolic sides of midlife weight gain. Combining hormone replacement therapy (HRT) with GLP-1 medications is emerging as one of the most promising new strategies for managing weight and overall well-being during menopause. HRT isn’t FDA-approved for weight loss, but many clinicians recognize that restoring estrogen levels can indirectly support weight management during menopause. Hormone replacement therapy aids in weight loss by stabilizing hormone levels and reducing symptoms like weight gain around menopause. These changes become significant during menopause when there is a decline in oestrogen levels, the hormones responsible for regulating metabolism and fat distribution in women. Evidence suggests bioidentical hormone replacement therapy can enhance the body's ability to burn fat and prevent unwanted weight gain when combined with regular exercise and a healthy diet. Through its role in enhancing fat metabolism, improving insulin sensitivity, and optimizing energy utilization, hormone replacement therapy (HRT) supports weight loss efforts during menopause. HRT can help women in menopause lose weight by stabilizing metabolism, regulating appetite hormones, and alleviating perimenopause symptoms that can contribute to weight gain. “You’ll still work with licensed clinicians who review your history, symptoms, and goals, making high-quality care more convenient and accessible,” says McClean. “Many women choose to see a physician when their everyday well-being is affected by, for example, hot flashes, night sweats, difficult mood swings, interrupted sleep, or a lack of vaginal moisture,” says Thomas. Still, not all telehealth platforms follow the same standards, and quality may vary. Online menopause care can be beneficial, especially if you don’t have local access to a menopause-trained clinician. We also consulted with clinicians who did not select the platforms, but helped us understand what high-quality menopause care should include. These early studies also suggest hydrogen water may be anti-inflammatory, a quality that may reduce the risk of heart disease and other life-threatening diseases. This type of stress comes from both normal body functions and external forces, including sun exposure and industrial chemicals. A 2024 review of several studies found that hydrogen water showed promise in reducing fatigue and increasing endurance. More research is needed, but experts believe that hydrogen water has the potential to offset some of the negative effects of radiation. Many medical experts agree that more research is needed to discover or verify any advantages of hydrogen water. It is crucial to work closely with healthcare providers to monitor hormonal levels and adjust HRT as necessary. Regardless of hormone levels, a balanced diet plays a vital role in weight management. In men, testosterone therapy can result in significant changes to body composition. If you are still having issues getting your GLP-1 medications as prescribed, please contact your healthcare team. Some studies that have looked at the health benefits of hydrogen-rich water advised people to drink it on an empty stomach. Some studies found that consuming hydrogen water reduced body mass index, one measure of obesity. Factors Influencing Weight Loss The main endpoint of the study was the percentage of total body weight loss (TBWL percentage) at 12 months after semaglutide initiation by HRT use. Finally, age at menopause onset as well as whether patients met with a dietitian or a behavior modification therapist for weight loss were also included. Information on the use of medications that may promote weight gain during the time of semaglutide treatment was collected as well. In addition to socioeconomic and demographic information, data collected included weight, height and body mass index (BMI); blood pressure; medical history pertaining to diseases including abnormal blood lipids, high blood pressure, type 2 diabetes, gastroesophageal reflux disease (GERD), MASLD and obstructive sleep apnea. The study is a retrospective review of the electronic medical records (EMRs) of patients in the Mayo Clinic Health System using semaglutide for the treatment of people diagnosed overweight or obese (BMI greater than 27 kg/m2) between January 1, 2021, and March 31, 2023. Based on a study released about the effects of hormone therapy on postmenopausal women confirms this conclusion. As it relates to weight gain, decreased testosterone levels can cause stubborn and persistent weight gain in our midsection. Stress hormones slow down our metabolism which in turn increases our ability to store fat. The risks don’t stop there, in fact you can also suffer from a higher total and LDL (bad) cholesterol and insulin resistance. If you believe you may be suffering from a hormonal imbalance, you are not alone. When you are put in a stressful situation the body goes into something called “fight” or “flight” mode. That can make sticking to a consistent workout routine nearly impossible, thus slowly increasing your fat storage due to inactivity. The best results are achieved by adhering to strict dietary restrictions, exercising frequently, managing your stress, and partaking in BHRT therapy. Your physician will create a treatment plan considering the results of your examinations. It depends on factors such as exercise, diet, and overall health. When it comes to losing weight, several people focus on exercise and diet. Let’s examine the connection between both to determine whether it’s best for you. If your doctor prescribes Ozempic for type 2 diabetes or kidney disease rather than weight loss, Medicare Part D can cover it. “You can get your doctor to write you a prescription for off-label use as a weight loss drug. Though some GLP-1s have been FDA-approved for weight loss, others have not. These medications also can help with weight loss because they make you feel fuller faster. In drug trials sponsored by manufacturer Novo Nordisk, the Wegovy pill resulted in an average weight loss of more than 16 percent for those who took it as directed. The gel-like substance that psyllium makes in your stomach can slow down how quickly your body digests carbohydrates. "But start small and work up to this dose to help prevent side effects," she says. In other words, when you eat it, it passes through your body without being broken down. Fiber is a type of carbohydrate that your body can’t digest or absorb. This brings us to the role of hormone therapy in managing weight gain. No quick fixes or broad claims—just the insights you need to understand the potential of hormone therapy in your weight loss journey. Identifying the best hormone therapy for weight loss is a science-backed strategy that could unlock the path to your desired results. If he determines that hormone replacement therapy would help you, he tailors that to your unique body, too. It's important to note that you may experience some fluid retention while on HRT, which can make you feel like you’ve gained a few pounds, but it doesn’t lead to significant weight gain. If you’re gaining weight while on HRT, other factors related to menopause are most likely to blame. Talk with a healthcare professional about what might be best for you, whether it’s a medication like GLP-1s or HRT, lifestyle changes, or a combination of both. There is no simple formula that everyone should follow to lose weight during menopause. HRT is not a weight loss drug, and taking it does not directly result in weight loss, say Midi Health experts. And while HRT helps many women, for some, even an optimal dosage won’t ease every symptom. HRT can help with symptoms such as mood shifts, anxiety, and brain fog, and these may start to stabilize as your sleep becomes more restful. Hot flashes and night sweats are often the earliest symptoms to improve after starting HRT. Do I need to check my hormone levels? “This potential decrease could cause your body to burn fewer calories at rest, possibly leading to weight gain and/or difficulty losing weight.” As weight loss isn’t guaranteed with being on HRT, weight gain also isn’t guaranteed if you go off of it. According to Kathleen Jordan, MD, NCMP, Chief Medical Officer at Midi Health, studies show that HRT helps manage weight distribution, deflecting the tendency to gain belly fat during menopause. With expertise in both weight loss and menopause, they will help you consider all of your options, including medications like GLP-1s and HRT. This exciting area of research suggests that for menopausal women struggling with weight, the combination of hormone replacement and newer weight-loss medications might offer more effective results than either approach alone. Testosterone is not currently licensed to treat the symptoms of menopause, but a specialist doctor can prescribe it. Menopause is when your periods stop due to lower hormone levels. Consider berberine an option for you to lose some weight and reduce your blood sugar levels. Still, it’s best to always talk with your health care provider before trying berberine or other supplements. One of the supplement’s main functions is to trigger an important enzyme, AMPK (activated protein kinase), that controls your metabolism, the process in which your body turns what you eat and drink into energy. Research suggests HRT can help lower uric acid levels, improving insulin sensitivity and your overall metabolic health. On top of that, lower estrogen levels also mean higher uric acid, which independently disrupts insulin sensitivity. “And insulin is the fat-storing hormone; when it increases, people tend to store fat around our middle,” she says. Boosts Metabolism Therefore, unless there are compensatory changes in dietary habits and physical activity, aging results in weight gain. At SKINovative we believe in empowering our patients to make healthy lifestyle changes for long-term weight management. If your body builds up an insulin resistance, then you are at a high risk of being diagnosed with diabetes.