Home / Weight concerns
Weight concerns
Weight gain in midlife is not just about willpower
Many women notice their weight creeping up and settling around the belly in their 40s and 50s, even when they eat the same way.
Why it happens
As estrogen falls, the body tends to store more fat around the waist instead of the hips. Muscle mass also declines with age, which slows metabolism, and insulin resistance becomes more common. Poor sleep, stress and hot flushes add to cravings and tiredness.
Belly fat matters because it raises the risk of diabetes, high blood pressure and heart disease.
What we check
- Weight, height, BMI and waist measurement
- Blood sugar and HbA1c, and insulin resistance
- Thyroid function
- Cholesterol and liver health
- Vitamin D and B12
- Sleep, stress and medicines that affect weight
How it can be treated
- A realistic nutrition plan with enough protein
- Strength training to protect muscle and bone
- Better sleep and management of hot flushes
- HRT where suitable, to treat menopause symptoms
- Medical weight-loss treatment for selected women, prescribed and monitored by a doctor
- Regular follow-up with weight, waist and blood tests
Treatment is decided after a consultation and depends on your health, tests and preferences.
Not sure where to start?
Take the free assessment. It takes about 10 minutes, and Dr Anagha's team will call you to discuss your answers.