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Health, Nutrition

Understanding Hormonal Imbalances and Weight Gain

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I often see clients who are puzzled by weight gain that seems unrelated to diet or exercise habits. Many assume that weight gain, especially in women, is simply a part of aging. While age-related metabolic changes play a role, it’s important to recognise that weight gain often has deeper roots in hormonal imbalances that can affect us throughout life; from puberty to menopause and beyond. By understanding how hormonal shifts impact metabolism, we can develop effective strategies to support weight management and overall health.

Hormonal Imbalance and Weight Gain: Key Phases in a Woman’s Life

During puberty, a surge in estrogen, progesterone, and other reproductive hormones begins to reshape the body. These changes are essential for reproductive health, but they can also trigger weight gain, particularly around the hips, thighs, and abdomen.

Factors like early or delayed puberty, as well as irregular menstrual cycles, can further complicate weight management for teenagers and lead to lifelong challenges if not addressed.

Even after puberty, fluctuating levels of estrogen and progesterone throughout each menstrual cycle can influence hunger, cravings, and how the body stores fat. For example, higher levels of estrogen before ovulation often lead to more fat storage, while a drop in these hormones before menstruation can trigger cravings, particularly for sweets and carbohydrates.

Balancing blood sugar and supporting stable energy levels through diet and lifestyle practices can make a significant difference in managing weight during these cyclical changes.


Pregnancy brings a unique hormonal environment that supports fetal development, with higher levels of progesterone, estrogen, and other hormones. While some weight gain is natural and necessary, imbalances can lead to excessive weight gain that may linger postpartum. Postpartum hormonal shifts, especially a sudden drop in estrogen and progesterone, along with increased cortisol from stress and lack of sleep, can further hinder weight loss efforts. Many women experience challenges losing weight during this period due to these hormonal and lifestyle changes.


Perimenopause, the transition leading up to menopause, often starts around age 40 and lasts several years. During this time, estrogen and progesterone levels fluctuate unpredictably, contributing to symptoms like hot flashes, mood swings, and weight gain, particularly in the abdomen.


As women transition to menopause and estrogen levels decline, muscle mass tends to decrease while body fat percentage increases, often slowing down metabolism. However, this doesn’t mean weight gain is inevitable. By supporting metabolic health through nutrition and lifestyle, it’s possible to maintain a healthy weight even in menopause.

Why It’s Not Just About Aging!

Age alone isn’t the primary reason for weight gain; hormones are. While it’s easy to attribute weight gain to “getting older,” what’s really happening is that hormonal balance shifts with different life phases. Insulin resistance, cortisol, thyroid imbalances, and changes in sex hormones all contribute to how our bodies store and burn fat. High estrogen can encourage fat storage, particularly around the abdomen and thighs. Low estrogen, as seen in menopause, can also shift fat distribution.


Often called the “balancing” hormone, progesterone helps offset the effects of estrogen. Low progesterone, common in many women due to chronic stress or hormonal birth control, can lead to bloating and weight gain.


High insulin levels, often a result of poor diet or chronic stress, drive the body to store more fat. This can lead to insulin resistance, a major player in metabolic health issues and weight gain.

Known as the stress hormone, cortisol can lead to weight gain, particularly around the
abdomen, when consistently elevated due to stress, lack of sleep, or high-sugar diets.
Thyroid hormones regulate metabolism. Hypothyroidism (low thyroid function) can slow
metabolism, making weight loss difficult even with a healthy diet and regular exercise.

How to Balance Hormones for Weight Management

  1. Eating a diet rich in whole foods, fiber, healthy fats, and lean proteins helps to balance blood sugar, which is critical for insulin regulation. Avoid high-sugar foods and refined carbs that spike blood sugar and insulin, leading to fat storage. Aim for complex carbs, healthy fats, and proteins with each meal to stabilize blood sugar levels. Include foods high in phytoestrogens (like flaxseeds and soy) for natural estrogen balance, especially in menopause.
  2. Chronic stress is one of the biggest triggers of cortisol dysregulation, leading to weight gain, especially around the midsection. Incorporate stress-relief practices like deep breathing, yoga, or daily walks to reduce cortisol levels naturally.
  3. Quality sleep helps regulate hunger hormones like leptin and ghrelin, preventing overeating. Aim for 7–8 hours of sleep per night and consider creating a calming pre-sleep routine to support better rest.
  4. Include foods rich in selenium (like Brazil nuts) and iodine (found in sea vegetables) to support thyroid function, as well as adequate protein, which the thyroid needs for hormone production. Minimize exposure to environmental toxins that can disrupt thyroid function, such as BPA in plastics and pesticides on non-organic produce.
  5. Strength training is especially effective for women in perimenopause and menopause, as it helps maintain muscle mass, which naturally declines with age. Aim for a mix of cardio, resistance training, and flexibility exercises to support metabolism, improve energy levels, and help with weight management.
  6. Nutrients like magnesium, vitamin D, and B vitamins play essential roles in hormone regulation and energy production.

Hormonal imbalances can trigger weight gain at any stage of life, often regardless of age. By recognizing the unique hormonal shifts that happen throughout a woman’s life, we can address the root causes of weight challenges with strategies that restore balance naturally. Supporting your body through nutrition, lifestyle adjustments, and stress management empowers you to take control of your health and achieve a weight that feels right for you; whatever your age.

As a holistic nutritionist, my goal is to empower women to connect with their bodies and understand the profound impact that personalized nutrition can have on their overall health. I believe that every woman deserves an individualized approach to hormone health that honours her unique biology, life stage, and lifestyle. Instead of relying on temporary solutions, let’s embrace a more holistic journey toward lasting vitality, balance, and well-being; one that nurtures the whole self and promotes long-term health from the inside out.