A woman’s hormone changes during perimenopause and menopause are associated with, and considered to be, drivers of multiple aspects of the aging process, including the most disturbing, unwanted weight gain. Research suggests that the slowing of a woman’s metabolism after age 40 can cause this gain in weight, making it more difficult to lose (4, 7). A sluggish, middle-aged metabolism occurs for several hormonal-based reasons:

  1. Metabolic hormones which help maintain lean muscle mass decline, which increases total body fat percentage. This decline leads to less calories used for fuel throughout the day, especially at rest.
  2. Appetite declines as we age, which decreases energy, calorie and nutrient intake.
  3. Systemic Inflammation (often caused by higher body fat percentage or imbalanced hormones) naturally increases as we age, making women less tolerant to dietary carbohydrates (i.e. sugar) and insulin. This increases fat storage, especially around the abdomen.
  4. Perimenopausal and menopausal hormonal fluctuations may impact weight, mood, sleep, appetite and libido.
  5. Inactivity or too much physical activity (causing a negative stress response in the body) contributes to women either gaining weight or not losing weight as they age.


At Dr Kealy’s Medical Weight Loss Center, we know that menopause-related weight gain, particularly around the abdomen, is a complex problem – but it’s one that can be successfully addressed, thanks to a combination of advances in both traditional and alternative medicine. After age 40, you may experience more difficulty losing weight – but do not despair, it is possible. It just takes a different dietary approach, a little more time, a bit more effort, education and support. Dr Kealy’s Balance 3H Plus® program creates a favorable environment in your body, which reduces inflammation and resets your hormones, making fat loss an achievable goal. Download our free informational guide to learn more.


Dr Kealy's New Weight Loss Paradigm for Women Over 40.