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    It’s common for women to pack on a few pounds around the time of menopause, but there are several ways you can lose that weight and maintain a healthier weight during and after menopause. Hormone replacement therapy can help in many ways with your weight loss goals if you’re suffering from symptoms of menopause. Several studies have found that menopausal HRT can have a big impact not only on weight loss, but also how much fat your body stores and where. Let’s talk about how hormone replacement therapy can help you lose weight.

    What Causes Weight Gain During Menopause?

    woman working out and using hormone replacement therapy for weight loss

    Hormone replacement therapy can make it easier to lose weight during and after menopause.

    Menopause brings about a lot of changes that can lead to weight gain and higher fat content in your body. As hormones like estrogen and progesterone fluctuate and decline, you might notice it’s harder to keep the weight off. There are several reasons for menopausal weight gain, including:

    • Body Fat Distribution: With low estrogen levels during menopause comes changes in how your body distributes fat and muscle. It can lead to your body creating more fat and also increasing fat in your stomach area.
    • Age: Our metabolisms and energy levels tend to get lower with age. As you approach middle age, which is also the average time of menopause, it can be harder to keep your weight under control.
    • Hormone Imbalances Affect the Metabolism: Your metabolism controls how many calories you burn at rest and during activity. Slower metabolism means you burn fewer calories overall and, therefore, are more likely to store those extra calories instead of burning them. Low estrogen levels due to menopause may slow down your metabolism and lead to weight gain.
    • Menopause Symptoms: Symptoms of menopause like hot flashes, sleep disturbances, mood changes, and fatigue can all play a role in weight gain. These symptoms make it hard to engage in healthy habits like exercise and maintaining a balanced diet.

    Therefore, there are many reasons why you might notice you’ve gained extra weight during menopause. The good news is that you can typically lose it with the right strategies.

    Six Ways Hormone Replacement Therapy Can Help with Weight Loss

    Hormone replacement therapy is a common treatment option for menopause. This essentially supplements your natural hormone levels during menopause to help ease many of the symptoms and health consequences of menopause, including weight gain. Here are six ways that hormone replacement therapy can help with weight loss:

    1. Hormone Replacement Therapy Improves Body Composition

    Because low hormone levels can cause changes in how your body stores and distributes fat, it can also lead to gaining extra weight. Hormone replacement therapy can prevent this issue by keeping your estrogen levels high enough to stop body composition changes.

    In fact, a recent study found that women who used HRT had one point lower on the BMI scale and also about three pounds less of body fat compared to women who didn’t use hormone replacement therapy. This is particularly important, as extra body fat, even if your weight stays about the same, is also associated with other metabolic changes like insulin resistance and metabolic syndrome. Not only does this increase your risk for becoming overweight or obese but can also lead to other health issues like heart problems and diabetes.

    2. Estrogen May Boost Your Metabolism

    Estrogen also plays an important role in your body’s metabolism. Metabolism is the rate that you burn calories at. There are many factors that affect your metabolism, including age and genetics. However, there is evidence that low estrogen levels can also slow down the metabolism, which can make it harder to lose weight. In these cases, the only option is to either exercise significantly more or to eat fewer calories to adjust for your slow metabolism. Basically, you either need to take in fewer or burn more calories.

    Hormone replacement therapy increases your body’s estrogen levels, which can prevent menopause related changes to your metabolism. This allows you to burn more calories both at rest and during exercise, so you don’t store them as extra pounds in your body.

    3. Menopause Treatment with HRT Can Increase Your Energy Levels

    Fatigue is a common symptom of menopause that can make it really difficult to lose weight. Feeling extra tired all the time can have you reaching for calorie-dense comfort foods in your body’s attempt to get more energy. Also, if you’re feeling fatigued, the last thing you want to do is go out and get a workout in. This often means you’re eating more calories while burning less, which can lead to weight gain.

    However, HRT is a menopause treatment that can help increase your energy levels. Most of your menopause symptoms are due to fluctuating and decreasing hormone levels. If you have fatigue due to menopause, hormone replacement therapy can help relieve your symptoms so you feel more energetic and can better manage your weight through diet and exercise.

    4. Hormone Replacement Therapy Alleviates Hot Flashes

    Hot flashes are another menopause symptom that can interfere with your weight loss plans. Hot flashes can strike at any time and often make it feel like your body is on fire. Naturally, that can make it difficult to go get a workout in. In fact, exercise can even be a trigger for hot flashes, since a good workout will increase your core temperature.

    Hormone replacement therapy is one of the most effective treatments for vasomotor symptoms, which is the medical term for hot flashes and night sweats. 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.

    5. HRT Can Improve Mood Changes & Depression Symptoms

    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. Depressive symptoms in particular can make it hard to get out of bed, let alone exercise. Depression can lead to overeating for many people, which can lead to weight gain.

    If your mood changes are due to hormonal changes during menopause, then hormone imbalance treatment with HRT can help. Keeping your hormones in check with hormone replacement therapy can also help stabilize and even boost your mood so you can eat healthy and workout for weight loss.

    6. Hormone Replacement Therapy Helps with Sleep Disturbances

    Another issue many women face during menopause is sleep changes, particularly sleep disturbances. You might experience insomnia, disturbances from night sweats, and other issues that make it almost impossible to get a good night’s sleep. This, in turn, can make it hard to lose weight.

    If you’re constantly tired because of sleep deprivation from menopause, your body is more likely to crave fast energy sources that also happen to have a lot of calories, like sugary foods and drinks. Also, if you’re tired and can’t sleep well at night, it’s significantly less likely you’ll hit the gym after work. Hormone replacement therapy can help solve many of these sleep issues during menopause, which can help you with weight loss by making it easier to make healthier diet and exercise choices.

    Hormone Imbalance Treatment from HerKare

    Our team at HerKare is here to help you feel your best during menopause. Our hormone replacement therapy solutions are personalized to you to help you feel your best and treat your symptoms. We work with you to improve your overall health, including maintaining a healthy weight, getting enough sleep, and ensuring that you get the preventative care you need. We help you take care of your body so you can take care of those you love. Contact us now to book an appointment and learn how our providers can make a difference for your health and life.


    It is with heavy hearts that we announce that Dr. Sridevi Panchamukhi will be discontinuing her affiliation with HerKare. Dr. Panchamoukhi’s last day with HerKare was Monday, March 27, 2023. As a patient you may obtain copies of your medical records or arrange transfer of your medical records to another physician. HerKare Physician Group, PLLC will continue to maintain your medical records. You may reach out to to obtain copies of your records. We wish Dr. Panchamoukhi the very best.