Weight gain around menopause, especially around the middle, is driven by falling estrogen, muscle loss, and insulin changes — not just calories. This section explains why it happens and what actually helps: protein and strength training, sleep, and where medication including HRT and GLP-1 drugs may fit.
Part of our Menopause guides. Related topics: Hot Flashes & Night Sweats, HRT & Treatment Options, Perimenopause Symptoms.