Will HRT make me gain weight?
There is no evidence that HRT leads to weight gain. HRT can have a positive impact on weight and metabolism. A few women will experience fluid retention, which may be seen as weight gain, but this often settles within 4-6 weeks after starting HRT.
Around menopause, our bodies become less sensitive to insulin. This changes how our body handles glucose and causes more energy to be stored as fat instead of used. This fat is mainly stored around the middle (hence the term ‘middle-aged spread’). This, unfortunately, is the weight most associated with developing high blood pressure, diabetes, high cholesterol, and heart disease.
Fat around the middle also contributes to further insulin resistance, making it more challenging to lose weight. This can turn into a vicious cycle may ensue.
HRT can partly reverse this process, and some changes can be made to the diet that can help to increase overall metabolism.