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Why Your Body Changes During Menopause
During menopause, declining estrogen levels fundamentally alter how your body stores and processes fat. Estrogen receptors in adipose tissue become less responsive, causing a redistribution of fat from hips and thighs to the abdominal area — what many women call 'meno belly.' This isn't a failure of willpower. It's endocrinology.
Simultaneously, progesterone drops before estrogen does during perimenopause, creating a temporary estrogen dominance that increases water retention and bloating. Many women gain 5-8 pounds during this transition without changing their diet or activity level. The metabolic rate decreases by approximately 50 calories per day per decade after age 30, compounding the challenge.
International Menopause Society, 'Hormonal Changes and Body Composition During Menopause,' Climacteric, 2023.