Assessment of weight and metabolic changes during perimenopause and menopause
Weight that shifts, redistributes, or simply won’t respond the way it used to around perimenopause and menopause is genuinely common, and genuinely frustrating, especially when nothing else about your diet or exercise has changed. It’s not just “getting older” — there’s real hormonal and metabolic change behind it.
Our Menopause & Weight Clinic looks at the hormonal, lifestyle and cardiovascular factors together, recognising that weight changes at this life stage rarely have a single cause, and building a plan that reflects that rather than defaulting to generic diet advice.
This isn’t just “getting older” — there’s real hormonal change behind it, and real options too.
We look at your hormonal status alongside your metabolic and cardiovascular risk factors, since these shift together at menopause and are best assessed as one picture. Where relevant, this includes considering how HRT and other menopause treatment may interact with your weight and metabolic health, alongside lifestyle, nutritional and, where appropriate, medical weight-management support.
Weight at this life stage doesn’t sit apart from your other menopause symptoms, so we coordinate this directly with your wider menopause care — whether that’s ongoing HRT, our Complex Menopause Clinic, or another LUNA menopause pathway — rather than treating it in isolation.
for the full weight-management plan alongside your menopause care
for a deeper look at glucose and cardiovascular risk
Falling oestrogen affects fat distribution, metabolism and insulin sensitivity, which is why the same habits that worked before can stop being enough — it’s a genuine hormonal shift, not a lack of effort.
HRT isn’t primarily a weight-loss treatment, but by improving symptoms like sleep and energy, and by supporting a more favourable fat distribution, it can make weight management easier for some women — we’ll talk through this as part of your assessment.
It’s common, but not inevitable, and there’s genuinely more that can be done than generic diet advice — a proper hormonal and metabolic assessment is the starting point.
Cardiovascular risk does increase after menopause, partly related to hormonal changes, which is why we assess this specifically rather than focusing on weight alone.
Yes — we coordinate directly with your wider menopause care, whether that’s with LUNA or elsewhere, so your weight management and hormone treatment work together.
Book your Menopause & Weight assessment today.
