Weight and Metabolic Health
Weight and Metabolic Health in Midlife
Weight and body composition often begin to shift during the perimenopausal and menopausal years. Even if you haven’t changed your eating habits or exercise routine, many people notice weight gain—especially around the midsection. This can feel frustrating, but it’s important to know that these changes are common and not a reflection of willpower. Instead, they’re often tied to underlying metabolic and hormonal changes that happen naturally in midlife.
Key Symptoms
Common Causes
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Hormonal Imbalances
Estrogen and progesterone shifts can slow metabolism and increase abdominal fat storage. -
Insulin Resistance
Midlife changes in blood sugar regulation may make it easier to gain weight and harder to lose it. -
Cortisol and Stress
High stress levels raise cortisol, which is linked to cravings, belly fat, and disrupted sleep. -
Thyroid Issues
An underactive thyroid can slow metabolism, leading to weight gain and fatigue.
Treatment Options
Because every person’s body responds differently to midlife changes, we take a personalized approach that may include:
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Comprehensive lab work
To assess hormone, thyroid, and metabolic function -
Personalized referrals
To nutrition, fitness, or metabolic specialists if needed -
Hormone therapy (when appropriate)
To address imbalances contributing to weight changes
Menopause & Midlife Symptoms
Understanding the Spectrum
Menopause affects everyone differently. Some experience only mild changes, while others face more noticeable symptoms that impact daily life. Below, you’ll find an overview of common menopause and midlife symptoms, their causes, and treatment options.
Perimenopause
Perimenopause, the transition leading up to menopause, often begins in the late 30s or 40s. Symptoms vary widely but may include irregular cycles, hot flashes, and mood changes.
Menopause
Menopause is confirmed after 12 consecutive months without a period. While hot flashes and night sweats are common, some individuals also experience fatigue, joint pain, or changes in skin and hair.
Premature Ovarian Insufficiency
When ovarian function declines before age 40, it is known as Premature Ovarian Insufficiency. This condition can affect fertility and bone health, making early detection and management especially important.
Sexual Health
Shifts in estrogen and testosterone can influence sexual health, intimacy, and confidence. Symptoms may include vaginal dryness, discomfort with intercourse, low libido, or Genitourinary Syndrome of Menopause (GSM).
Mood, Sleep, Mental Health
Emotional well-being is often closely linked to hormonal changes. Anxiety, depression, disrupted sleep, and difficulty concentrating are common but manageable with the right support.
Hair Loss
Hair changes during midlife can be distressing. Thinning hair may be related to hormones, stress, or nutrient deficiencies. Treatments can be tailored to restore confidence and support long-term scalp health.
Weight and Metabolic Health
Midlife weight gain—particularly around the abdomen—is influenced by hormones, metabolism, and lifestyle factors. Identifying the root causes can help with effective and sustainable management.
Wellness Focused
Supporting Your Long-Term Health
Weight and metabolic health are not just about fitting into clothes—it’s about protecting your bones, heart, and brain as you age. With the right tools, guidance, and support, you can feel stronger, healthier, and more confident in your body during midlife and beyond.
