Menopause and Weight Gain: Strategies for Management
Anna Harrelson • June 6, 2024

Navigating Menopause: Effective Strategies to Manage Weight Gain and Enhance Health

Menopause is a time of significant hormonal changes, and one of the most common concerns for women during this transition is weight gain. Understanding the mechanisms behind this weight gain and implementing effective strategies can help manage it. Let’s delve into the statistics, causes, and management strategies for menopause-related weight gain.


Prevalence of Weight Gain in Midlife Women

Statistics reveal that severe obesity is almost twice as prevalent in women (9.9%) compared to men (5.5%)​​. During menopause, many women experience an increase in waist circumference due to hormonal changes, particularly the decrease in estradiol. This shift often leads to an increase in visceral fat, which has significant implications for overall health.


Understanding Visceral Fat

Visceral fat, the fat stored around the internal organs, is more dangerous than subcutaneous fat, which lies just under the skin. Visceral fat is associated with increased inflammation and a higher risk of cardiometabolic diseases, including heart disease and type 2 diabetes​​. This type of fat releases inflammatory markers and free fatty acids into the bloodstream, contributing to insulin resistance and chronic inflammation.

In contrast, subcutaneous fat, though more noticeable, poses fewer health risks. It's crucial to focus on reducing visceral fat through a combination of lifestyle modifications.


Hormonal Changes and Their Impact

The decline in estrogen during menopause plays a crucial role in weight gain. Estrogen helps regulate body weight and fat distribution. As its levels drop, the body tends to store more fat in the abdominal area. This hormonal change also affects metabolic rate, making it easier to gain weight and harder to lose it.


Strategies for Managing Weight Gain

  • Focus on Health, Not Just Weight Loss
  • It’s important to shift the focus from simply losing weight to becoming healthier and stronger. Aim to build muscle mass and improve overall body composition.
  • Stable Glucose Levels
  • Maintaining stable glucose levels is vital. Muscle tissue plays a key role in glucose metabolism by enhancing insulin sensitivity. Engaging in regular strength training exercises can help improve muscle mass and control blood sugar levels.
  • Anti-inflammatory Nutrition
  • Adopt an anti-inflammatory diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Include plenty of fiber and protein to keep you full and stabilize blood sugar levels. Avoid processed foods, sugary snacks, and trans fats, which can exacerbate inflammation.
  • Avoid Starvation Diets
  • Starving yourself to lose weight can be counterproductive. It can slow down your metabolism and lead to muscle loss instead of fat loss. Ensure you are consuming enough calories to support your metabolic needs, focusing on nutrient-dense foods.
  • Manage Stress
  • Chronic stress can lead to weight gain, particularly in the abdominal area. Practices such as mindfulness, meditation, yoga, and adequate sleep can help manage stress levels. Stress reduction can positively affect weight management efforts.
  • Exercise: Cardio and Strength Training
  • While cardiovascular exercise is important for heart health and burning calories, strength training is crucial for building muscle mass. Aim for a balanced exercise routine that includes both cardio and strength training to maximize fat loss and improve muscle tone. (don't forget to incorporate balance and stretching into your routine!)


Conclusion

Menopause-related weight gain can be managed effectively by focusing on overall health and adopting a holistic approach that includes balanced nutrition, regular exercise, and stress management. Remember, the goal is to stay healthy and strong, not just to lose weight. Embrace these changes with a positive mindset and take proactive steps to support your health during this transition.


You got this!

Dr. Anna

WonderCreek Health Blog

By Anna Harrelson June 13, 2025
You’ve probably seen it popping up in wellness podcasts, health stores, or even your friend's supplement cabinet: bovine colostrum. Marketed for gut health, immune support, and recovery, this early-life nutrient source for calves is now showing up in adult wellness routines. But is it worth your time and money? As a lifestyle medicine physician focused on women’s midlife health and longevity, here’s what I want you to know before you jump on the colostrum bandwagon. Let’s Start With the Basics: What Is Colostrum? Colostrum is the first form of milk produced by mammals (including humans) in the first few days after giving birth. It’s loaded with antibodies, growth factors, and immune-modulating compounds designed to jumpstart a newborn’s immune system and line the gut. Bovine colostrum—from cows—is the form used in most supplements. It's freeze-dried and packaged into powders or capsules, and often promoted for: Gut barrier support ("leaky gut") Immune system priming Exercise recovery Anti-aging benefits But let’s be honest: just because something has growth factors doesn’t mean it belongs in your Amazon cart. Does the Science Support It? Evidence in humans is limited— but not nonexistent. Some small clinical studies have shown potential benefits: Gut health: In people with NSAID-induced intestinal permeability ("leaky gut"), bovine colostrum has been shown to reduce damage and symptoms. Immune function: Some data in athletes suggests reduced upper respiratory infections. Exercise recovery: A few studies report improvements in performance, gut comfort, or muscle soreness—especially in endurance athletes. But these benefits aren’t guaranteed. And the quality and dosage of colostrum varies widely, with no standardized formulation across brands. So Should You Take It? Here’s where my clinical voice kicks in: Before you reach for colostrum, ask yourself: Have you addressed the basics? Are you sleeping? Managing stress? Eating fiber and whole foods? Getting enough protein? Building muscle? Moving your body? Supporting your gut with real food (not just powders)? If the answer is no—then colostrum is not your next step. You’re throwing powdered fuel on an engine that’s missing spark plugs. Do you have dairy sensitivity? Colostrum is a dairy product. Even if it's low in lactose, it may not be tolerated by everyone. Are you already taking quality foundational supplements? Vitamin D, omega-3s, magnesium, creatine, iron (when needed), and probiotics have stronger bodies of evidence for many women in midlife. When Might It Be Worth Trying? Colostrum might be a reasonable add-on if you: Have mild gut symptoms (especially post-infectious or stress-related) Are recovering from illness or antibiotics Train hard and experience frequent upper respiratory issues Want to support your immune system during travel or stress Even then, I recommend: A 2–3 month trial only after dialing in basics Choosing a third-party tested brand Tracking symptoms and benefits Cost, Hype, and the Bigger Picture Many women I work with are overwhelmed by supplement costs. Colostrum can run $50–100/month —and that adds up. So here’s what I tell my patients: Just because something is trending doesn’t mean it’s essential. And just because it works for someone on TikTok doesn’t mean it’s the right tool for your body right now. Your body is an incredible machine. When you give it rest, movement, nourishment, and support—it can do amazing things. Colostrum is not magic. It’s just one tool in a very big toolbox. Bottom Line Colostrum may hality sources. You’re not broken. You might just need a reset—not another powder.
By Anna Harrelson June 12, 2025
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