Beneficial effect of hormone replacement therapy on weight loss in obese menopausal women

These results emphasize the need to assesspatients" utilities directly, particularly when utilities for the outcome of a particu/ar therapy may influence the choice of a therapeutic regimen. Previous studies and national prescr/bing patterns show that physicians are conservative/n their approach to this therapy. Menopause is an important stage in women's lives and yet there is often mystery surrounding what it is and how it should be managed. These results support the hypothesis that the interrupted progestin HRT increases tissue sensitivity to both estrogen and progestin. In addition, we found a significant beneficial effect ofa low-dose interrupted HRT regimen on bone mineral content and density in an aged rat model ofosteopenia, compared with continuous estrogen and progestin or estrogen alone. By addressing these imbalances through hormone therapy, you can improve your sleep quality, which in turn supports weight loss efforts. Hormonal imbalances, particularly decreased estrogen levels in women and testosterone in men, contribute to the accumulation of stubborn fat in this area. In this article, we highlight six lesser-known facts about hormone therapy and its role in weight loss. Our hormone replacement therapy solutions are personalized to you to help you feel your best and treat your symptoms. If your mood changes are due to hormonal changes during menopause, then hormone imbalance treatment with HRT can help. During menopause, you might also be struggling with mood swings and even depression, both of which can make it hard to maintain healthy diet and exercise for weight loss. Therefore, taking HRT during menopause can relieve your hot flash symptoms and make it easier to burn that extra fat through a healthy exercise regimen. Can I start hormone therapy just to improve my weight loss results with GLP-1 medications? Women who address their menopausal hormone deficiency often report improvements not just in classic symptoms like hot flashes, but also in energy levels, libido, mood, cognitive function, sleep quality, and now, as this research suggests, weight management outcomes. If you're a postmenopausal woman struggling with weight management, these findings suggest that addressing your hormone levels may improve your results with weight loss medications. When estrogen levels drop during menopause, women tend to shift from storing fat in the hips and thighs to accumulating it around the abdomen. Side Effects and Tolerability Some researcher arguments that the absence of estrogens may be an important obesity-triggering factor . This systematic review discusses of the role of estrogens and estrogen receptors in adipocyte differentiation, and its control by the central nervous systemn and the possible role of estrogen-like compounds and endocrine disruptors chemicals are discussed. Estrogens and estrogen receptors regulate various aspects of glucose and lipid metabolism. Take charge of your health with the SynergenX patient app, powered by SynergenX - a free, game-changing tool available now in the Apple and Android app stores! This process can make it more difficult to stay at a healthy weight. As they get older, women may notice that staying at their usual weight becomes harder. Many women gain weight as they age, but extra pounds aren't inevitable. Hormone replacement therapy’s cancer risk depends on many factors.
  • Practicing these methods regularly can sustain the positive changes prompted by HRT, fostering an environment for successful and long-term weight regulation.
  • Talking to other women who are also transitioning to menopause can be a great relief for many people.
  • Tirzepatide, the medication studied in this research, also activates GIP (glucose-dependent insulinotropic polypeptide) receptors, which may enhance weight loss beyond GLP-1 action alone.
  • Lampropoulus et al. observed that PYY response levels showed an increase trend postprandially in weight regain patients who underwent SG .
  • Thus, in women aged 50 to 59 with prior hysterectomy and BSO, estrogen therapy conferred significant benefit.
  • Out of 10,000 women who are not taking ERT, 32 have strokes each year.
  • HRT often improves energy levels and with this comes the motivation to be active and enjoy exercise again.

CLINICAL CHALLENGES IN MANAGEMENT OF OBESITY

Hormone therapy for weight loss can take various forms, depending on the underlying hormonal imbalance and individual factors. Exercise can help regulate hormones, boost metabolism, and support weight loss. Regular monitoring is crucial to assess the effectiveness of hormone therapy and to detect any potential side effects. Your healthcare provider will consider these factors when prescribing hormone therapy. It’s essential to discuss your cardiovascular health with your healthcare provider before initiating hormone therapy. Supra-physiological concentrations of estradiol induce a decrease in the expression of insulin receptors, thereby contributing to the development of insulin resistance (172, 173). This can be as a consequence of endocrinopathies (such as PCOS) or simply of their life stage (e.g. perimenopause). Support for estradiol altering insulin sensitivity has also been reported in rodents, since estradiol deficient animals are more likely to develop insulin resistance (170, 171). For example, estradiol may protect against the development of metabolic syndrome by impacting insulin sensitivity. Compounded bioidentical hormones are often marketed as being more natural, which can make them seem safer than other forms of hormone therapy used for menopause. The decision to use hormone therapy after menopause, like ET or EPT, should be made by you and your doctor after weighing the possible risks and benefits. “The best candidates for hormone therapy are symptomatic women younger than age 60 or within 10 years of menopause,” she explained. Are there any alternatives to HRT for weight management? “By restoring estrogen levels with hormone therapy, the body may respond better to medications like tirzepatide, which work by improving how the body processes insulin,” she explains. Personalized treatment plans may also incorporate lifestyle interventions such as diet and exercise to enhance the efficacy of hormone therapy for hormonal balance for weight loss. Bio-identical hormone replacement therapy (BHRT) is a type of treatment that can help to balance common sex hormones like estrogen, progesterone, and testosterone. In the context of weight loss, hormone therapy is often used to address hormonal imbalances that may be contributing to weight gain or difficulty losing weight. With that being said, there are times when healthcare providers don’t recommend HRT after evaluating your situation. Healthcare providers know the risks and benefits of HRT and how to apply them to your unique case. They’re the best person to help you understand your individual risk for cancer and other conditions. It’s always best to discuss your personal risk factors for cancer with your provider. A variety of hormonal changes occur with PCOS, including low estrogen. There are many reasons why your estrogen levels might fall. After you start your period, the main type of estrogen in your body (except during pregnancy) is estradiol. During puberty, estrogen shoots up to help your body make physical changes, such as breast development. Dr. Kadambi and our team provide nutritional education and exercise guidance to support your weight loss goals. Hormone replacement alone doesn’t result in weight loss, though. He may order lab work to check your hormone levels while also discussing your current diet and exercise routine. However, Genistein reverses the truncal fat accumulation in postmenopausal women and ovariectomized rodent models 144, 145. These mice develop a truncal obesity phenotype with increased gonadal and visceral adiposity and three times higher levels of circulating leptin without a marked increase in body weight . ER alpha in the brain regulates body weight in both males and females ▸ ER alpha in female SF1 neurons regulates energy expenditure and fat distribution ▸ ER alpha in female POMC neurons regulates food intake. Estrogen hormone replacement therapy induces a decrease or no change in ghrelin activity . It varies among individuals and is a period that often includes vasomotor symptoms such as hot flushes alongside frequent or excessive menstruation. In case of undiagnosed vaginal bleeding, estrogen-dependent malignant tumors (such as endometrial cancer), breast cancer, active thromboembolism, active liver diseases, and gall bladder diseases, MHT should not be used 1,2. Depending on clinical manifestations and individual risk factors, the basic examinations and elective examinations are conducted at an interval of 1–2 years. Elective examinations such as thyroid function test, breast ultrasonography, and endometrial biopsy are customized to fit individuals' risk factors. In addition, the basic examination should include a physical examination for height, weight, and blood pressure as well as the pelvis, breast, and thyroid. These findings do not suggest that HRT should betaken by women for the express purpose of weight loss. Women are more prone to mood disorders in the perimenopausal period, and that can interfere with their motivation to make lifestyle changes often required to prevent weight gain. For example, women with severe vasomotor symptoms, especially at night, might not realize how severe fatigue compromises their ability to remain active. Perimenopausal women often underestimate the impact of vasomotor symptoms on so many aspects of their lives. However, hormonal changes can impact how body fat is distributed and increase abdominal obesity. Treatment plans often consider libido, comfort, and overall vitality as part of whole-body health rather than isolating symptoms. Yes, hormone care may support sexual wellness when symptoms are linked to hormonal changes. Response time varies based on the individual, the type of therapy, and baseline hormone levels. When people search for a hormone therapy clinic near me, they are often looking for answers, clarity, and a team that truly listens. – your estrogen levels start to dip. And yes, you guessed it – it’s got its fingers in the weight loss pie too. Estrogen, that clever little hormone, doesn’t just sit pretty in your body. When one instrument goes out of tune – say, estrogen levels drop – the whole symphony can sound off.

Alternatives and Additional Support for Weight Loss

For instance, estrogen has been linked to some endocrine disorders and gastrointestinal diseases. Estrogen receptors are located throughout your body. There, estrogen binds to a protein, called an estrogen receptor, that gets the process moving. The placenta (the organ that allows nutrient-sharing between parent and fetus) secretes estrogen during pregnancy. Your ovaries make most of your estrogen during your reproductive years.
  • Keep in mind that HRT is just one part of your overall health plan.
  • – your estrogen levels start to dip.
  • Women could be more at risk of weight gain during these stages.
  • Hormone therapy for weight loss can take various forms, depending on the underlying hormonal imbalance and individual factors.
  • However, it cannot be ruled out that compounds with estrogenic activity may potentiate the effect of other drugs with proven beneficial effects on cardiometabolic complications of obesity, such as sodium-glucose transporter type 2 (SGLT2i) inhibitors .
  • A fracture risk assessment is a questionnaire used by healthcare professionals to understand your bone strength.
  • Estrogen replacement therapy (ERT) has been a topic of debate regarding its impact on weight and body composition.
  • You typically begin with the lowest effective dose, which means the lowest dose that helps your symptoms.
  • While evidence on how this therapy may interact with weight-loss medications is limited, some research has shown that postmenopausal women using hormone therapy experience greater weight loss when treated with the GLP-1-based obesity medication semaglutide.
Yüksel H, Odabasi AR, Demircan S, Köseoglu K, Kizilkaya K, Onur E. Effects of postmenopausal hormone replacement therapy on body fat composition. Effects of treatment with testosterone alone or in combination with estrogen on insulin sensitivity in postmenopausal women. Postmenopausal hormone therapy and body composition--a substudy of the estrogen plus progestin trial of the Women's Health Initiative. A systematic review and meta-analysis was performed, with the aim of synthesizing available data from relevant randomized controlled trials and exploring associations between hormone therapy and weight gain in climacteric women. While estrogen pills can be dangerous for people with liver problems, patches are OK because the estrogen bypasses the liver and goes directly into the blood. Combination estrogen and progestin patches -- like Climara Pro and Combipatch -- are also available. If you choose this form of estrogen, you'll need to wear one at all times. Estrogen patches deliver estrogen directly through your skin. Some people don't absorb estrogen very well, especially if you take certain medicines or have stomach problems. Hormone replacement boosts weight loss with Tirzepatide

Menopausal hormone therapy may boost weight loss seen with Zepbound

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. One study found that HRT can prevent weight gain and encourage weight loss by significantly increasing lipid oxidation and positively influencing the insulin response and energy expenditure. In fact, a major review by the International Menopause Society (IMS) stated that “menopause does not cause weight gain but does increase ‘belly fat’”. The hormone 17 beta oestradiol encourages fat to be held around the hips and thighs – a healthier fat distribution – as this declines it naturally starts to change body shape. This is due to the metabolic effects of declining and fluctuating hormone levels (both oestrogen and progesterone). In general, it's recommended that patients stop taking HRT by age 60 so the risk of these side effects goes down. Yet, while estrogen and progesterone can increase your risk for cancer, they can also have benefits. These hormones are linked to several types of cancer, including breast cancer and endometrial cancer. Your doctor may also consider non-hormonal approaches to relieve symptoms if appropriate.
  • The stages of the menopausal transition and after menopause are characterized by a progressive reduction in ovarian steroid production.
  • During menopause, fluctuating hormones can feel like your body is completely resetting—and in many ways, it is.
  • If you’ve been navigating the maze of diet plans and exercise regimens without finding the success you’re hoping for, it’s time to consider the role your hormones play in weight loss.
  • If safety is your main concern, learning is hormone therapy safe can help clarify how professional oversight minimizes risk.
  • These changes are not signs that the body is “broken.” They reflect a new internal environment.
  • Circadian misalignment alters hormonal signaling and, in turn, can affect food choices and intake.
  • Xu Y, López M. Central regulation of energy metabolism by estrogens.
  • Breast cancers found in women taking EPT are more likely to be larger and more advanced.
Is it better to be on HRT or not?
A comprehensive overview of the types, routes, and formulations of currently available HT, as well as HT’s benefits and risks by outcomes of interest are provided to facilitate clinical decision making. HT also has a role in preventing osteoporosis in appropriate candidates for treatment. At Bodyline, we understand the importance of maintaining healthy routines even during holidays, busy social periods or warme Seasonal habits often shift in summer, and so do the nutritional and behavioural challenges that come with weight management. I combine a deep understanding of medical wellness with a passion for science-backed health solutions and future-focused care. Hormone replacement therapy restores balanced metabolism The scientific literature on HRT and weight change presents a mixed picture. The type of HRT‚ its dosage‚ and the route of administration significantly influence its impact on weight. However, it’s important to recognize that these benefits are typically a by-product of overall better health and well-being, rather than a direct cause of weight loss. The improvement in energy levels often reported by those undergoing therapy allows for greater participation in physical activity, which is vital for weight management. HRT’s potential to normalize hormone levels makes it easier to lose weight by enhancing the metabolism’s responsiveness.
  • Your doctor may prescribe estrogen or an estrogen-progesterone combination therapy as a pill, ointment, skin patch or vaginal gel.
  • There are non-hormonal medications and other interventions you can use to treat menopause symptoms.
  • Energy levels are often higher, making this an optimal time for more intense workouts.
  • In one survey, as many as 37% of women reported weight gain as a side effect of hormone replacement therapy (HRT).
  • Hot flashes and other symptoms may or may not come back after a woman stops using hormones.
  • Therefore‚ attributing weight gain solely to estrogen deficiency is an oversimplification.
  • Thus, both the PVN and the SON also represent important structures involved in the control of water and sodium regulation because AVP has powerful effects on both blood pressure and free water retention.
Falling estrogen levels can result in weight gain as estrogen is responsible for regulating glucose and controlling where fat is stored. Hormonal imbalances are responsible for many of the changes women experience during menopause, and hormone replacement therapy may be able to help. This ancient practice complements hormone replacement therapy by addressing underlying imbalances that contribute to weight gain. Additionally, low estrogen levels can contribute to weight gain, particularly around the abdomen, as well as decreased bone health and joint pain. Estrogen is a key hormone involved in weight regulation, especially during menopause, but an optimal balance with progesterone is also important for overall hormonal health. Some of the side effects of HRT include nausea, headache, vomiting, vaginal cramps, allergic reactions, an increase in blood pressure, etc. When you are less stressed, your appetite may return to normal, and you could gain weight, especially if you binge eat a lot. To answer this, I would say HRT has side effects, which vary from one woman to the other. However, there is not much evidence to support that bioidentical hormones are equal to conventional hormone therapy. Replacing these lost or low hormones is the goal of bioidentical hormone therapy or conventional hormone therapy. These hormones include estrogen, progesterone and testosterone. The levels of certain hormones in your body go down with age. Compounded bioidentical hormones are advertised as being a safer, more effective, natural and individualized alternative to conventional hormone therapy. Rare endocrine tumors form in glands or in cells that produce hormones and can cause hormone imbalances. Any kind of growth on a gland or organ that produces hormones, such as a tumor, adenoma or nodule, could affect its ability to do so. However, there are several other reasons why your hormone levels may be irregular at unexpected times. Throughout your life — and even throughout the day — your hormone levels naturally rise and fall. From fears about cancer risk to misconceptions about its safety and effectiveness, myths surrounding HRT can make it hard to separate fact from fiction. First, let’s break menopause down into its distinct phases because HRT is prescribed differently, and its safety changes depending on where you are in the process. In this article, we’ll debunk common misconceptions about HRT, explore recent research, and explain its diverse effects and options. Conflicting information has made navigating menopause even more confusing. Effects of Hormone Therapy on Body Composition and Fat Distribution in Early Postmenopausal Women. No significant difference in the average of food intake between OVX+est and OVX+ses oil groups confirms that estrogen induces weight loss through other mechanisms rather than central mechanisms of food intake. This is in agreement with the findings of several studies showed an increase in visceral fat after hypoestrogenism.41,42,43 OVX may stimulate adipocyte hypertrophy and increased levels of epidermal growth factor, therefore OVX rats will be promoting obesity.38,39 Ten weeks follow-up in our study showed that increase in body weight and visceral fat in OVX rats remained elevated compared to the control group. Our results showed a significant difference in body weight, height, BMI, visceral fat, weight, glucose level, blood lipid profile, and serum apelin between the OVX and sham groups, two weeks after surgery. Serum glucose, cholesterol, TG, HDLC, and low-density lipoproteins cholesterol I (LDL-C) were determined like our previous works.38,39 After collecting the blood samples, all intra-abdominal fat depots including mesenteric, urogenital and retroperitoneal were dissected out by one experimenter and weighed immediately after dissection to avoid evaporative weight loss. Blocking antibody to the β-subunit of FSH prevents bone loss by inhibiting bone resorption and stimulating bone synthesis. Menstrual cycle phase modulates reward-related neural function in women. Resting metabolic rate and thermic effect of a meal in the follicular and luteal phases of the menstrual cycle in well-nourished Indian women. Lundman B, Asplund K, Norberg A. Metabolic control, food intake and mood during the menstrual cycle in patients with insulin-dependent diabetes. Overall, this evidence suggests that abnormally high or low levels of estradiol can both lead increased insulin resistance in the brain and peripheral tissues. High doses of estradiol also significantly decrease the amount of insulin receptors and the insulin receptor substrate 1 (IRS-1) levels in muscle and adipose tissue in vitro (174). The clinical implications of this interaction extend beyond hypo-estrogenic states (e.g. post-menopause). Again, this is where estradiol also exerts a number of direct effects on appetite, thus raising the possibility of estradiol-insulin interactions to alter food intake. Basal plasma insulin concentrations are proportional to body adiposity (156).
How to choose the right HRT for you
Discover why hot flashes happen in menopause, as well as effective ways to fight off these uncomfortable symptoms. Learn more about the symptoms, causes, and treatment options available. Discover more about the effectiveness of the medication and potential side effects, and risks. Learn which menopause treatments may be covered by insurance and how to access them.
  • Any imbalance can lead to weight gain or difficulty in losing weight, showcasing the vital role hormones have in our metabolic processes.
  • Bariatric surgery has become popular in treating obesity, where patients cannot lose weight via traditional methods such as diet and exercise or who have a BMI ≥ 35 kg/m2 with comorbidities .
  • Once hormone replacement stopped, the women rapidly regained their abdominal fat.
  • We are sure this form of therapy might have left you intrigued to learn more.
  • Conditions like thyroid imbalances, estrogen dominance, testosterone deficiencies, and cortisol fluctuations can silently derail your weight management efforts.
  • This is the case with androgens whose administration to women results in the reduction of late-stage differentiation of pre-adipocytes to adipocytes .
  • Don’t just balance your hormones; proof your life against leaks and reclaim your intimacy.
Postmenopausal women — those who have been through menopause — experience higher rates of obesity than men of the same age. Lifewell MD integrates this therapy into comprehensive wellness plans for menopausal women. Patients benefit from personalized HIIT sessions tailored to their fitness levels and weight loss goals. In some cases, testosterone replacement therapy may be considered to help increase muscle mass and support fat loss.
  • Staying informed allows practitioners to offer the most current and effective interventions for hormonal balance for weight loss, ensuring high-quality care.
  • Several lines of evidence indicate that estrogen may potentiate the enhancement of BAT activation and beiging of WAT in humans.
  • And yes, you guessed it – it’s got its fingers in the weight loss pie too.
  • Estrogen and progesterone therapy can help counteract these changes, improving both body composition and quality of life.
  • 3 “It’s not that HRT makes you lose weight,” says Deb Matthew, M.D., a board-certified integrative-medicine physician specializing in hormonal imbalances.
  • Bioidentical progesterone helps balance appetite signals and mitigates cravings that often accompany hormonal fluctuations.
  • The higher preference for convenience food is also inversely proportional to time spent in home-cooked meals by these women.
  • Bone health is often monitored with periodic bone density scans, which help guide treatment decisions.
An imbalance between these hormones can lead to overeating, creating a cycle of weight gain that’s difficult to break. Furthermore, cognitive-behavioral therapy can provide individuals with tools to manage stress more effectively, leading to improved hormonal balance for weight loss. These interventions not only aid in weight loss but also contribute to overall metabolic health, reducing the risk of related conditions like type 2 diabetes. Others have also suggested that the greatest benefits of HRT to skeletal muscle may be seen in women nearer the age of menopause . Bone mineral loss accelerates following menopause in women and this accelerated bone loss is prevented by HRT 16, 52. The positive association of bone mass and density with estrogen in older women has been well established in the scientific literature . The Link Between Low Testosterone and Cognitive Decline Meanwhile, cortisol levels tend to be higher in people under chronic stress — the type that lasts weeks and months. The hormone is also linked to a bigger waistline. “These medicines reduce heart disease risk as well,” Merendino says.

How long does it take for HRT to help with weight loss?

These elements support better outcomes and long-term hormonal balance rather than quick fixes. Access to ongoing monitoring is critical for safe care, particularly when managing hormonal fluctuations over time. These signs often point to a hormone imbalance rather than simple lifestyle stress. Physical symptoms may include Hair Loss, changes in skin texture, or temperature sensitivity.
What are the signs you need hormone replacement therapy?
At 2, 6, 9 and 12 months, researchers recorded total body weight loss percentage with semaglutide treatment and compared weight-loss outcomes and changes in cardiometabolic risk markers with semaglutide treatment for postmenopausal women with and without hormone therapy use. Menopausal hormone therapy (MHT)—also called postmenopausal hormone therapy and hormone replacement therapy—is sometimes used to replace the natural hormones estrogen and progesterone in a woman’s body during and after menopause, when levels of these hormones drop. As we age, menopause can cause hormonal imbalances in postmenopausal women, resulting in unwanted fat accumulation and stubborn weight gain due to low estrogen levels and testosterone. To evaluate the effect of unopposed oestrogen or combined oestrogen and progestogen hormone replacement therapy (HRT) upon the body weight and fat distribution of peri-menopausal and post-menopausal women. The classic example is the decline in estrogen at menopause, but men also lose testosterone at a steady pace after the age of 30 or 40. You can also be generally healthy and end up with low hormones because their production naturally goes down as you get older. Much like low estrogen, lack of testosterone tends to make fat accumulate in your abdomen. There’s a clear association between low testosterone and weight gain. Hormones influence nearly every system in the body, from metabolism to mood. The right clinic can offer clarity, testing, and structured solutions that address root causes rather than masking symptoms. Finding a Hormone Therapy Clinic Near Me in Charleston, SC can feel overwhelming when you are dealing with symptoms that disrupt your daily life. You'll need regular check-ups to monitor your health. Over time, you might find that your symptoms change. But that doesn't mean your treatment will stay exactly the same forever. Estrogen induces osteoclast apoptosis- a protective mechanism that declines after menopause, resulting in higher osteoporosis and fracture risk (98). A prospective, non-randomized study found that women with stage I-II endometrial cancer did not have an increased risk of recurrence compared with age matched controls when treated with oCEE+MPA (88, 95). A systematic review of 28 studies published in 2016 supported increased risk of endometrial cancer with unopposed estrogen use even when use was less than five years, with persistence of risk for more than 10 years (89, 91, 92). Even an old woman could benefit from the use of MHT if her cognitive function is “healthy.” However, both hypotheses share a limitation that they were not supported by large-scale random blind studies . This means that in terms of the effect of MHT, the woman's health is a more important determinant than physiological age. Recently, the “healthy cell bias hypothesis” is often introduced instead of the existing “critical window hypothesis” about the difference in the effect of cognitive function regarding the execution time of MHT 138,139. You’re Not Failing — You’re Adapting Lipoprotein lipase (LPL) is a key-regulating enzyme for energy metabolism that breaks down plasma triglycerides into free fatty acids and glycerol. Melanin-concentrating hormone (MCH) promotes food consumption by acting directly on the lateral nucleus of the hypothalamus. This inhibitory action is due to the estrogen modulation of NPY mRNA expression and receptor activity 93, 94. There’s no estrogen or progestin HRT that leads to weight loss or weight gain. This form of hormone replacement therapy provides you with synthetic estrogen and progesterone in one dose. Estrogen-only hormone replacement therapy includes a synthetic form of estrogen. By adhering to a low-glycemic diet and increasing physical activity, the patient not only lost weight but also improved her overall metabolic health. By considering the unique hormonal landscape of each patient, practitioners can develop strategies that address the root causes of weight issues. A comprehensive evaluation of a patient’s hormonal profile is essential for devising an effective treatment plan. Thyroid hormones play a crucial role in regulating metabolism, and their deficiency can slow down metabolic processes. Contrary to common belief, estrogen replacement therapy does not typically cause weight gain. Studies have shown that estrogen can act in the brain to prevent body weight gain. The aim of this study was to examine the metabolic effects of combined hormone replacement therapy (17beta-oestradiol transdermic 50 microg for 21 days and oral medroxyprogesterone acetate 5 mg from day 10 to 21) using, in particular, indirect calorimetry. The increase in oestrogen can help to reduce your chance of developing osteoporosis and broken bones. This includes eating a healthy, balanced diet and exercise. But if you have an early or premature menopause you are more likely to develop it.

How Hormones Influence Weight

Moreover, the adaptive metabolic responses to estrogen deficiency in puberty, estrous cycle and pregnancy, all of them states characterized by major changes in the estrogen milieu, are also part of this canonical E2-mediated regulation 1,2. E2 and other estrogens, such as estrone (E1) and estriol (E3) are lipophilic molecules that quickly diffuse through biological membranes and interact with intracellular receptors. In addition to their extensive role in reproduction and on the hypothalamic-pituitary-gonadal (HPG) axis, estrogens are highly involved in the regulation of energy homeostasis by modulating both food intake and energy expenditure 1,2. Many women refuse hormone replacement therapy because they believe it promotes weight gain. So, while estrogen levels naturally decline through the menopausal transition, keeping your gut health in check may help ease your body through this time with much less of an impact on your weight. Declining estrogen levels, elevated levels of follicle-stimulating hormone (FSH), decreased physical activity, and a slower metabolism are thought to be culprits when it comes to weight gain during menopause 5 6. 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. Gaining weight during menopause is a common challenge, influenced by metabolic changes, decreased muscle mass, and the effects of hormone replacement therapy (HRT).
  • Examples are conjugated estrogens (Premarin), estradiol (Estrace), and Estratab.
  • Use of the information and products discussed is at your own risk.
  • This gain can arise from increased fat storage or water retention, particularly in the early stages of treatment.
  • She considers it to be the gold standard to distinguish “abdominal fat from other components of fat tissue.”
  • An underlying health condition, chronic stress, lack of sleep, nutritional deficiencies, a toxic overload in your body, and some medications can all disrupt hormone levels.
  • Estrogen, a primary female sex hormone, plays a crucial role in numerous bodily functions, including metabolism, fat distribution, and appetite regulation.
  • Testosterone regulates carbohydrates, proteins and fat metabolism 79,89 and testosterone therapy in men with testosterone deficiency results in normalization of glucose utilization and increased lipid oxidation .
  • By advancing practices such as maintaining a nutrient-dense diet rich in vegetables, lean proteins, and whole grains, one can optimize their body’s response to HRT.
  • Hormone therapy must comply with medical standards and regulatory guidance.
While weight and appearance often dominate discussions about HRT, the bigger picture is your overall health. Remind yourself that weight is not an enemy, but rather a natural part of your body’s journey. During the initial stages of HRT, fluctuations in estrogen levels can make hunger cues feel unpredictable, leading to periods of overeating or food cravings. Estrogen interacts with leptin and ghrelin, two hormones that regulate hunger.