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  • Dr. Susan

Combat Menopause Weight Gain with a Hormone Balancing Diet: The Ultimate Guide

Menopause can be a challenging time for women, with symptoms ranging from hot flashes to mood swings. One of the most frustrating symptoms is weight gain, which can be difficult to combat with diet and exercise alone. However, by incorporating a hormone balancing diet, women can not only manage their weight, but also support overall hormonal health during this transitional period. In this ultimate guide, we’ll explore the relationship between hormones and menopause weight gain, as well as provide tips and strategies for creating a hormone balancing diet that can help combat those pesky extra pounds.

Menopausal Weight Gain

Menopause is a natural biological process that marks the end of a woman's reproductive years. It is caused by a decrease in hormone production, specifically estrogen and progesterone, which can lead to a variety of symptoms including hot flashes, mood swings, and weight gain. During menopause, women tend to accumulate fat around their abdomen, which can increase their risk of developing chronic diseases such as heart disease, diabetes, and cancer. This weight gain can be frustrating and difficult to manage, but a hormone balancing diet can be an effective tool to help combat it.

Hormones and Weight Gain

Before and during menopause, hormonal changes can lead to weight gain in several ways. Decreased levels of estrogen can cause insulin resistance and lead to higher blood sugar levels, which can contribute to weight gain. Estrogen also plays a role in fat distribution, and lower levels of estrogen can cause more fat to be stored in the abdomen. Additionally, lower levels of testosterone in menopausal women can contribute to loss of muscle mass, which can slow down metabolism and make it easier to gain weight. Finally, fluctuations in cortisol levels due to increased stress during this time can also contribute to weight gain.

Understanding Hormones and Menopause

The primary sex hormones include estrogen, progesterone, and testosterone. Estrogen is responsible for the development and maintenance of female reproductive tissues, as well as secondary sexual characteristics such as breast development. Progesterone is involved in the regulation of the menstrual cycle and pregnancy. Testosterone, although primarily known as a male hormone, is also important in women as it contributes to sex drive, bone density, and muscle mass. These hormones work together to regulate various bodily functions and are affected by age and other factors such as stress and diet.

Stress and Weight Gain

Stress and cortisol can disrupt hormone balance, leading to imbalances of estrogen, progesterone, testosterone, and DHEA, which can contribute to weight gain and other menopausal symptoms. A high sugar diet can cause insulin resistance, which may also contribute to weight gain and exacerbate hormonal imbalances. Other hormones, such as leptin and ghrelin, can also affect metabolism and appetite, potentially leading to weight gain during menopause.

Hormone Balancing Diet

The hormone balancing diet is an approach to eating that aims to support hormone balance and reduce symptoms of hormonal imbalance, such as weight gain, mood swings, and fatigue. The diet involves consuming nutrient-dense whole foods, while limiting or avoiding processed and sugary foods. It also emphasizes the importance of eating a balance of macronutrients (protein, fat, and carbohydrates) and includes specific foods and supplements that can support hormone production and metabolism, such as cruciferous vegetables, omega-3 fatty acids, and adaptogenic herbs.

Menopause Foods to Eat

On the hormone balancing diet, women should aim to eat:

  1. Non-starchy vegetables: such as broccoli, spinach, kale, and asparagus, which are rich in fiber, vitamins, and minerals, and have a low glycemic index.

  2. Healthy fats: such as avocado, olive oil, nuts, and seeds, which can help balance hormones and reduce inflammation.

  3. High-quality protein: such as grass-fed beef, wild-caught fish, free-range chicken, and organic eggs, which provide essential amino acids and nutrients for hormone production.

  4. Fermented foods: such as kefir, sauerkraut, and kimchi, which can help support a healthy gut microbiome and improve digestion.

  5. Foods rich in phytoestrogens: such as flaxseeds, soybeans, and chickpeas, which can help mimic the effects of estrogen in the body and reduce symptoms of menopause.

Menopause Foods to Avoid

On the other hand, women on the hormone balancing diet should avoid:

  1. Processed foods: which are often high in sugar, salt, and unhealthy fats and can cause inflammation and disrupt hormone balance.

  2. High-glycemic index foods: such as white bread, pasta, and rice, which can cause blood sugar spikes and disrupt insulin balance.

  3. Excessive caffeine and alcohol: which can affect cortisol levels and disrupt sleep, leading to hormonal imbalances.

  4. Conventional dairy: which may contain hormones and antibiotics that can disrupt the endocrine system and cause inflammation.

  5. Pesticide-laden produce: which may contain hormone-disrupting chemicals and should be avoided or minimized whenever possible.

Menopause Nutritional Needs

During menopause, hormonal changes can lead to a decrease in muscle mass and an increase in body fat. This can lead to a decrease in metabolic rate and make weight loss more difficult. Macronutrient balance and portion control are important to maintain a healthy weight and avoid excess weight gain during this time. A diet that is balanced in protein, healthy fats, and complex carbohydrates can help regulate blood sugar levels, reduce cravings, and increase satiety. Additionally, portion control can help prevent overeating and promote weight loss.

Menopause Metabolism

During menopause, a woman's body undergoes significant hormonal changes that affect various body systems, including metabolism, digestion, and nutrient absorption. With age, the body's ability to absorb nutrients decreases, and women may experience a decline in muscle mass and bone density, as well as an increased risk of chronic diseases such as heart disease, diabetes, and osteoporosis. Eating a nutrient-dense, whole foods diet during menopause can help provide essential vitamins and minerals to support the body's changing needs, maintain healthy weight, and reduce the risk of chronic disease.

Hormone Detoxification

Hormone detoxification is the process of breaking down and eliminating excess or harmful hormones from the body. The liver, gut, and kidneys are the primary organs involved in this process. During menopause, the body goes through significant hormonal changes, and completing a hormone detox can help support the body's natural elimination process, reducing symptoms like hot flashes, night sweats, and weight gain.

The liver is responsible for breaking down hormones into their metabolites. Once inactive these hormone metabolites are then eliminated through the gut and kidneys. The gut plays a crucial role in hormone detoxification by removing fat soluble toxins and excess hormones through bowel movements. The kidneys filter out any remaining water-soluble hormones and waste products, which are eliminated through urine.

A hormone detoxification program must include dietary changes, adaptogenic herbal supplements, and lifestyle modifications that support the liver, gut, and kidneys' natural detoxification processes. This should include eating nutrient-dense, whole foods, avoiding processed foods with added sugars, increasing fiber intake, staying hydrated, and getting enough sleep and exercise. Completing a hormone detoxification can help reduce menopause symptoms and improve overall health and well-being.

Benefits of Hormone Detoxification

The benefits of hormone detoxification can include improved hormone balance, reduction in menopause symptoms, increased energy, improved mood, and better overall health. Detoxification can help remove excess hormones and toxins from the body, allowing the liver and other organs to function more efficiently. This can help reduce the burden on the endocrine system and improve hormone receptor sensitivity, leading to better hormone balance and fewer symptoms. Additionally, hormone detoxification can improve overall health by reducing inflammation, improving gut health, and supporting the immune system.

Menopause Supplements

It's important to note that menopause supplements will only be as good as the knowledge of your hormone levels. If you don't know what's out of balance it's a tall order to expect a supplement to fix your symptoms.

With that being said, here are some recommended supplements for hormone balance and symptom relief:

  1. Multi-Vitamin: A good quality food sourced multivitamin can provide additional support for overall health during menopause. While it might be challenging, look for a multivitamin that contains adequate amounts of important vitamins and minerals, including vitamin D, calcium, magnesium, B vitamins, and antioxidants.

A food-sourced multivitamin is superior in quality because it contains nutrients that are derived from whole foods, such as fruits and vegetables, which are recognized by the body and easier to absorb and utilize. On the other hand, synthetic vitamins are made in a lab and may not be recognized by the body, leading to lower absorption rates and potential imbalances. Food-sourced multivitamins are also less likely to contain harmful additives or fillers that synthetic vitamins may have. I recommend Pro Multi+.

  1. Omega-3 Fatty Acids: These essential fatty acids are anti-inflammatory and can help reduce hot flashes, joint pain, and other menopausal symptoms.

  2. Vitamin D: Vitamin D helps to improve bone health and can also help with mood disorders, Pro D+ is an excellent highly absorbable liquid vitamin D.

  3. Magnesium: This mineral can help with sleep disturbances, muscle cramps, and anxiety.

  4. Black Cohosh: This herb is known to help with hot flashes and night sweats.

  5. Dong Quai: This herb is known to help with hot flashes and night sweats.

  6. Maca Root: This herb can help with energy levels and libido.

  7. Probiotics: These can help support gut health and improve digestion, which can be important for hormone balance.

Lifestyle Changes for Menopause Hormone Balance

Exercise for Hormone Balance

Exercise plays a crucial role in hormone balance during menopause because it helps to maintain a healthy weight, reduce stress, and increase the production of endorphins. Regular exercise also helps to improve insulin sensitivity and reduce inflammation, which are important factors in hormonal health. Additionally, weight-bearing exercises such as strength training can help to prevent bone loss and reduce the risk of osteoporosis, which is a common concern for menopausal women.

Keep in mind there is no one-size-fits-all answer to the ratio of cardiovascular exercise to weight resistive exercise during menopause. Both types of exercise are beneficial for hormone balance and overall health, so it is recommended to incorporate both into your routine. The American College of Sports Medicine recommends at least 150 minutes of moderate-intensity aerobic exercise per week, and at least two days of resistance training for all adults, regardless of age or gender.

Another consideration is use of technology. In working with my client's, I recommend an Innotech smart scale. This smart scale can be beneficial to track lean muscle mass, visceral fat and hydration during menopause. These are important biometrics to gauge where you fall compared to what's your normal. Smart scales can provide valuable information on changes in your body composition.

Benefits of Stress-Reducing Activities

There are numerous benefits of stress-reducing activities, especially during menopause, including:

  1. Reduced anxiety and depression: Stress-reducing activities help in reducing anxiety and depression symptoms.

  2. Improved sleep: Stress can lead to sleep disturbances and insomnia. Stress-reducing activities like yoga, meditation, or deep breathing exercises can help in improving sleep quality.

  3. Lower blood pressure: Chronic stress can increase blood pressure, which can lead to various health problems like heart disease. Stress-reducing activities can help in reducing blood pressure.

  4. Enhanced cognitive function: Stress can negatively affect cognitive function, including memory and focus. Regular practice of stress-reducing activities can improve cognitive function.

  5. Reduced inflammation: Chronic stress can lead to inflammation in the body, which can contribute to several health problems. Stress-reducing activities can help in reducing inflammation.

  6. Increased immune function: Stress can suppress the immune system, making the body more vulnerable to infections and diseases. Stress-reducing activities can help in boosting immune function.

Overall, stress-reducing activities can help in improving physical and mental health, and are an essential part of maintaining overall well-being during menopause.

Sleep and Menopause

Cortisol and sleep play a critical role in hormone balance during menopause. Chronic stress and lack of sleep can lead to an increase in cortisol levels, which can disrupt the delicate balance of other hormones, including estrogen and progesterone. This disruption can cause symptoms such as hot flashes, mood swings, and weight gain. Therefore, it is important to prioritize stress-reducing activities and get enough sleep to maintain healthy cortisol levels and support hormone balance. Adequate sleep can also help with the repair and regeneration of the body, which is essential for overall health and well-being.

Menopause Hormone Testing and Monitoring

Salivary Hormone Testing

Saliva hormone testing is a method used to measure hormone levels in saliva samples. This type of testing is considered to be a reliable and non-invasive way of measuring hormone levels because it can accurately reflect the amount of hormone available to target tissues in the body. Saliva hormone testing measures the levels of steroid hormones such as cortisol, estrogen, progesterone, and testosterone, which can provide insight into imbalances that may be contributing to symptoms such as fatigue, mood changes, and weight gain. This is my preferred type of hormone testing for functional results with normal levels identified for specific sex and age and all it's easy of use, the saliva hormone testing can be done at home.

Benefits of Hormone Testing

Hormone testing can provide valuable information about a woman's hormone levels and help identify any imbalances that may be contributing to menopause symptoms. This information can be used to guide personalized treatment plans, including lifestyle changes, hormone therapy, or other interventions. Hormone testing can also help monitor the effectiveness of any interventions and make adjustments as needed. Additionally, hormone testing may provide insight into other health concerns, such as thyroid function, adrenal health, and bone health.

Hormone Testing Frequency and Monitoring Your Levels

The frequency of hormone testing and monitoring can vary depending on individual circumstances and medical history. Generally, hormone testing is recommended when a person experiences symptoms of hormonal imbalance or when undergoing hormone therapy. The frequency of testing may be more frequent initially to establish a baseline and then less frequent over time as the person's hormone levels stabilize. I usually recommend retest after 3 months or 12-weeks after we have initiated a hormone balancing plan.

Once your symptoms have lessened and your repeat test shows your hormones have balanced then I take into consideration other symptoms such as your weight, underlying health factors and life stressors I recommend retesting every 2 years.


Here's your recap of the importance of a hormone balancing diet for menopausal weight gain.

A hormone balancing diet can be a powerful tool for managing menopause weight gain by helping to regulate hormone levels, reduce inflammation, and support the body's natural detoxification process. Some key principles of the hormone balancing diet include focusing on nutrient-dense, whole foods, maintaining a balance of macronutrients, and practicing portion control.

Additionally, supporting healthy cortisol and sleep, incorporating regular exercise, and managing stress can all be beneficial for hormone balance and weight management during menopause. Finally, hormone testing and monitoring can be helpful for identifying any imbalances and guiding personalized treatment.

Remember, if you're not testing, you're just guessing about your hormone health. Don't leave your well-being to chance, seek professional guidance today.

Menopause, can bring many health challenges, therefore it is a great time to take charge of your health through hormone testing and dietary guidance. Remember, testing is the only way to truly know what's going on in your body. And losing weight will not only help you feel better now but be protective and preventative into your future.

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