Why Weight Loss Feels Impossible During Menopause – and What to Do About It

If you’re in your 40s or 50s and wondering why the usual tricks no longer work when it comes to weight loss, you are definitely not alone. As a dietitian and somatic psychotherapist, I have had countless women sit across from me in my clinic frustrated, exhausted and feeling like their body is betraying them. And believe me, I get it – because I’ve been there too.

Let’s start by naming what so many women go through but rarely talk about openly: that weight gain during perimenopause and menopause is real. It’s not in your head. And more importantly – it’s not your fault.

Hormones Are Shifting – and So Is Your Metabolism



After your 40s it is not uncommon to have variable hormone levels. Low progesterone and high oestrogen are common, as well as both sex hormones being low. It's a bit messy around this time and depending on how you managed your stress and how well your liver, adrenals and thyroid are performing, this will directly impact your menopausal journey.

This can leave you feeling puffy and bloated, confused, irritable, depressed, anxious, sore, with a foggy mind and an attention span of two seconds. Weight gain around the belly is not uncommon either, and this tends to be the time when things around your midsection start to shift.

In your 50s, as oestrogen begins to decline, your body tries to hold onto fat even more, especially around the belly. Why? Because fat cells can produce oestrogen – and your body is trying to compensate. Add to this the common changes to insulin sensitivity, cortisol from ongoing stress, nutrient deficiencies, toxicity and disrupted sleep and it’s enough to make you feel mad – like you're riding a bloody rollercoaster. Joy...

Your metabolism slows and fat storage becomes easier, which means you need to work smarter and differently with your body and mind than ever before. And I’m sure you’ve already noticed that… the things that worked in the past no longer do, right?

Emotional and Somatic Load... aka Stress

Let’s not ignore the emotional weight you might be carrying too – whether it’s caring for family, managing a demanding career, or navigating changing roles and identity. All of this can show up physically.

As a somatic therapist, I see how emotional suppression, chronic stress and disconnection from the body contribute to holding onto weight. The more you have shoved down your emotions because you were too busy, it was too hard, or you didn’t know how to handle it, the more these get stored in the body and manifest later as weight gain and disease.

When I work with my menopausal ladies, we always work to offload and detox the old and stagnant emotions so the body can truly find its balance and wellbeing. When the body feels heard, supported and nourished, it will start cooperating with you and in equal measure support your weight loss efforts.

You see, lasting weight loss is not just about food or exercise – it’s also about feeling connected to your body, knowing how to regulate and nourish it, and having a safe and trusting partnership with it. Actively managing stress, as well as negative thoughts and emotions, is essential alongside a self-care focused lifestyle.

So What Can You Do?

Here’s the good news: weight loss is still possible in menopause – it just requires a different approach. One that is more holistic, gentle and aligned with your changing body.

• Eat to regulate, not restrict: Focus on eating every 4 to 5 hours, consuming nutrient-dense whole foods like whole grains, proteins and lots of vegetables. This will help balance your blood sugar and reduce inflammatory triggers. Eat enough to feel satisfied and energised, and supplement according to your needs. A dietitian can help personalise the right foods and supplements for you.
• Detox and cleanse: Chemicals are everywhere and a real reason why so many of us suffer. Aim to detox every 2 to 3 months under the guidance of a qualified dietitian to reduce toxic load and support hormonal balance.
• Support your nervous system: Breathing techniques, somatic movement, mindfulness and proper sleep hygiene can do more for your metabolism than any fad diet ever could. Stress reduction is key to navigate this time with more ease.
• Strength train: Your body needs resistance training now more than ever to support muscle mass, boost metabolism and maintain flexibility. Yoga and weights should become your best friends during this time.
• Track your cycle or symptoms: Learn the rhythm of your body and support it with food, rest and movement accordingly. Even if your cycle has stopped, your body still has energetic rhythms worth honouring.
• Give yourself grace: This is not just a physical transition. It is emotional, spiritual and deeply personal. Learn how to listen, actively respond and fall in love with yourself – rediscovering a new YOU. Your body is not broken. It is changing.

You do not have to hustle your way through this. There is another way. And if you are ready to try something that works with your body – not against it – I would love to support you through my personalised consultations.

To book, please visit www.ancavereen.com