In general, most women experience weight gain during menopause. While not everyone is affected in the same way, and the cause is multifactorial, it has been shown that hormonal changes are largely responsible for this phenomenon. As oestrogen levels decline, a hormonal shift occurs, with androgens becoming slightly more dominant. This results in a redistribution of body fat towards a more male-type pattern, with fat tending to accumulate around the abdomen, neck, and chest. This redistribution is also linked to insulin resistance and may lead to increased liver fat and a higher risk of developing diabetes.
Furthermore, menopause is a time when muscle mass decreases, and women tend to become more sedentary, even though staying active is crucial. Thyroid problems, which are common at this stage of life, can also contribute to weight gain.
With all this in mind, it is important to stay aware of any changes. If you have gained weight or wish to lose it in a healthy way, are feeling excessively tired or have noticed your metabolism slowing down, it is advisable to book a consultation. A preventive visit may also be beneficial.
What it is
It is a medical consultation with an endocrinology specialist, designed to provide a comprehensive assessment of your metabolic and endocrine health. The goal is to determine whether medical treatment or lifestyle changes are needed to manage weight gain and prevent potential associated risks. The integrative endocrinology consultation includes:
- Personalised interview: The purpose of this interview is to gather information about your needs, lifestyle, eating habits, physical activity, as well as your family history, medical history, current medications and any problems that may be related to metabolic imbalances.
- Physical assessment: We usually measure your height and weight and calculate your body mass index (BMI) to assess whether your weight is within a healthy range. We may also measure your waist circumference.
- Bioimpedance testing: This technique helps determine body composition, specifically fat percentage, muscle mass and body water, taking into account age and gender. The test works by measuring the body's resistance to a low-intensity electrical current, providing key data to personalise treatment plans and monitor progress.
- Additional tests: If necessary, further tests may be requested, such as blood work (to assess hormone levels, glucose, cortisol, thyroid function, etc.), ultrasound, densitometry, urinalysis, or imaging studies to assess your endocrine glands in more detail. You may also be asked to have certain vitamin levels checked to identify any deficiencies.
- Analysis of the results: The doctor will assess all the data collected, along with other health factors, to identify any imbalances or the need for intervention.
Treatment
- The treatment plan will depend on the diagnosis. Based on the results, the endocrinology specialist will make personalised recommendations, which may include:
- A personalised diet or changes in nutritional habits.
- Physical exercise.
- Pharmaceutical treatment for thyroid problems, diabetes, or hormonal imbalances.
- Treatments to increase satiety (feelings of fullness) and reduce appetite.
- Non-pharmaceutical treatments to reduce localised fat, combat skin laxity and promote drainage, such as mesotherapy and radiofrequency.
Who is the treatment intended for?
- The treatment is indicated for:
- Women who wish to lose weight in a healthy way.
- Women aged 40 to 45 looking to implement a preventive strategy to stay in good physical condition as they approach menopause.
- Perimenopausal or menopausal women who have gained weight or wish to prevent weight gain.
Expected outcome
These treatments aim to help maintain a weight that matches energy expenditure, prevent further weight gain, address any thyroid problems and reduce the risk of metabolic diseases such as diabetes.
Regular follow-up is essential to monitor progress, typically with checks at 3 and 6 months after starting treatment.
FAQs
Is the tendency to gain weight during menopause temporary, or does it persist into postmenopause?
It tends to persist and may even worsen.
If I follow a weight loss treatment, how long will it take to see visible results?
Weight loss and reduction in localised fat can typically be seen within the first month.
What is the recommended rate of weight loss for healthy and sustainable long-term results?
A loss of 3 to 4 kg per month is recommended, though this will depend on the patient’s degree of overweight or obesity. The risk of rebound weight gain depends on whether the patient adjusts her dietary habits and incorporates physical activity.
In addition to exercise, is it possible to increase muscle mass or at least halt its decline with a high-protein diet?
Gaining muscle mass requires physical activity, protein, and testosterone. These are the three pillars for maintaining muscle mass.
Can pharmaceutical treatment be used even if the goal is only to lose a small amount of weight?
Yes, we can provide a personalised treatment that focuses solely on reducing localised fat or losing a small amount of weight.
