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The Hormonal Explanation You Deserve

If you're doing everything 'right' and the scale won't budge — or keeps creeping up — perimenopause is likely the reason. The rules your body followed in your 20s and 30s no longer apply. Understanding why is the first step toward a strategy that actually works.

First, progesterone declines before estrogen during perimenopause. This creates temporary estrogen dominance, which promotes water retention, bloating, and fat storage. You may gain 3-5 pounds of water weight alone during this phase. Then, as estrogen begins declining too, fat redistributes from your hips to your belly. Your body is literally reshaping itself according to new hormonal instructions.

Mayo Clinic, 'Menopause Weight Gain: Stop the Middle Age Spread,' Mayo Clinic Women's Health, 2024.