March 28, 2025,

Menopause and Weight Gain: How Hormones Impact Your Metabolism

For many women, menopause marks the beginning of a new chapter—but it can also bring unexpected challenges, including stubborn weight gain. Even if your diet and exercise routine hasn’t changed, the hormonal shifts during midlife can significantly impact your metabolism, body composition, and overall wellness.

At Balance Wellspace, we believe in empowering women with personalized, medically guided solutions. Let’s explore how hormonal changes affect weight—and how treatments like hormone optimization can help restore balance.

The Hormone-Weight Connection

During perimenopause and menopause, your body begins producing less estrogen, progesterone, and testosterone. These changes affect your body in several ways:

Slower Metabolism

Estrogen plays a role in regulating metabolism. As levels decline, your resting metabolic rate may slow down, making it easier to gain weight—especially around the abdomen.

Muscle Loss

Testosterone, often overlooked in women’s health, supports muscle mass and strength. Less muscle = slower calorie burn.

Insulin Resistance

Hormonal imbalances can impact insulin sensitivity, leading to increased fat storage and higher blood sugar levels.

Poor Sleep & Stress

Low progesterone and estrogen can disrupt sleep and increase cortisol (the stress hormone), both of which can sabotage weight loss efforts.

Why Weight Gain Matters

This isn’t just about aesthetics—weight gain during menopause is linked to a higher risk of:

  • Type 2 diabetes
  • Cardiovascular disease
  • Osteoarthritis
  • Mood disorders

That’s why addressing it proactively is key to maintaining long-term health.

How Hormone Replacement Therapy (HRT) Can Help

At Balance Wellspace, we offer personalized Hormone Replacement Therapy (HRT) using the Biote® Method. This therapy can restore optimal levels of estrogen, progesterone, and testosterone to:

  • Support metabolic function
  • Promote lean muscle mass
  • Improve sleep and energy
  • Stabilize mood and appetite
  • Reduce visceral fat accumulation

Each patient receives a customized plan based on lab work, symptoms, and goals.

Combining HRT with Medical Weight Loss

Hormone optimization is just one piece of the puzzle. Our Medical Weight Loss Program, which may include Semaglutide injections, nutritional guidance, and lifestyle coaching, is designed to work alongside HRT for greater results. Together, they create a powerful approach to managing weight, increasing energy, and feeling like yourself again.

Take Control of Your Midlife Health

If you’re struggling with unexplained weight gain or other symptoms of hormonal imbalance, you’re not alone—and you don’t have to accept it as the “new normal.”

📍Schedule a consultation at Balance Wellspace in Roanoke to learn how we can help you achieve sustainable weight loss and vibrant health, naturally.

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