25/08/2026
Five things women over 40 learn too late about losing weight.
Number one.
HRT can help—but it isn’t a weight-loss treatment.
It may improve symptoms such as poor sleep, joint pain, brain fog and fatigue.
And when you feel better, looking after yourself can become much easier.
But HRT alone won’t make you lose weight.
Number two.
Your weight might stay the same, while your body shape changes.
As oestrogen levels change, we tend to store more fat around the middle.
At the same time, we may gradually lose muscle.
So if your clothes suddenly fit differently, even though the scales haven’t moved very much, you’re not imagining it.
Number three.
Your body may begin to handle food differently.
We can become slightly less sensitive to insulin, which can affect our blood sugar, hunger and energy levels.
That doesn’t mean you need to cut out carbohydrates.
But it does mean that including protein, fibre and balanced meals becomes even more important.
Number four.
Protecting your muscle matters just as much as losing fat.
If you severely restrict what you eat and lose weight quickly, some of that weight may come from muscle.
And the less muscle you have, the less energy your body uses.
So eating less and less isn’t always the answer.
And finally, number five.
Doing more and more cardio isn’t necessarily the answer either.
Walking and cardiovascular exercise are still really important.
But after 40, strength training, recovery and everyday movement all need to be part of the picture too.
Your body hasn’t suddenly failed you.
It has changed—and your approach needs to change with it.
Follow me if you want practical, honest advice about losing weight during perimenopause, without another extreme diet.