Does HRT Help With Weight Loss

Does HRT Help With Weight Loss? The Other Way Around

Written and Reviewed by Dr. Uzma Qureshi
Published on: 08/06/2024
Does HRT Help With Weight Loss

Have you ever found yourself standing in front of the mirror and embracing all the changes that hormonal imbalance, especially menopause, has brought to your body? You feel like your metabolism has hit the snooze button, and your curves are getting bulkier. Nevertheless, you heard someone mention HRT for weight loss. But the real question is, “Does HRT help with weight loss? It isn’t straightforward to get the correct answer when an ocean of information is available. 

The hormonal imbalance during menopause not only changes your mental state and brings you hot flashes, but it also slows down your metabolism, and your body tends to store fat. If you are going through all these changes and are now worried about all the pounds you have gained and now want to lose it then this blog is for you. Here, you will learn what makes you gain weight during menopause and whether HRT helps with weight loss. Let’s get answers to clear the air. 

Gaining weight During Menopause

Before you explore, “Does Hormone Therapy help with weight loss?” It is essential to understand why you or any other menopausal woman gain weight.

Here are Some factors that work together to help you gain extra pounds during your transition:

1. Hormonal Changes

Because there is a marked decrease in oestrogen—your essential sex hormone—your body experiences a hormonal imbalance. Oestrogen plays a significant role in regulating your energy production, sleep-wake, and hunger cycles. When your body lacks this key regulator, it may be less efficient in signalling fullness after meals, leading to increased hunger and food intake. Additionally, low oestrogen levels make your body store fat in the abdominal region rather than the hips and thighs. 

2. Lazy metabolism

Oestrogen plays a vital role in maintaining metabolic functions. When it decreases during menopause, it ultimately lowers your BMR (basal metabolic rate) —- which is the number of calories that your body needs to work correctly during rest. When your metabolism is lazy, your body burns fewer calories at rest, making it easier to put on weight, especially when your lifestyle and eating habits remain improper. 

3. Muscle loss

Oestrogen hormones also affect your muscle mass and strength. During the menopause transition, the less oestrogen in your blood leads to muscle loss—sarcopenia. The muscle tissues work harder to burn calories rather than fat tissue.

4. Insulin resistance

You may experience insulin resistance during menopause. It happens when cells become less responsive to the hormone insulin, leading to higher blood sugar levels and increased fat storage. Hormonal changes during menopause can contribute to insulin resistance. Abdominal obesity, often associated with insulin resistance, is a known risk factor for metabolic disorders such as type 2 diabetes and heart disease.

5. Menopause symptoms

Hormonal changes and menopausal symptoms, such as hot flashes and mood swings, sleep disturbances and fatigue, may lead to emotional eating or less nutritious food choices. Busy schedules, stress, and caregiving responsibilities may also contribute to overeating or consuming calorie-dense foods, further promoting weight gain.

6. Lifestyle changes

Changes in lifestyle habits, such as decreased physical activity and unhealthy eating habits during menopause adds to the reasons for weight gain. The joint pain, fatigue, and overall decreased quality of life do not let you stay active and reduce weight.


HRT stands for hormone replacement therapy. As the name implies, this therapy aims to provide you with the hormones that you are deficient in. Your body might not be producing certain hormones that can cause hormone imbalances. Healthcare providers select hormone replacement therapy (HRT) to address this imbalance. For example, women are supplemented with oestrogen and progesterone during menopause as their ovaries stop producing enough of these hormones. This deficiency causes them to experience menopause symptoms, so HRT comes into play and helps them stabilise their hormonal fluctuations— But, “Does HRT help with weight loss? We will find it out. 

The Buzz: Does Hormone Replacement Therapy Help With Weight Loss?

You know, a lot of women who tried hormone replacement therapy (HRT) say they lost weight. But here’s the thing—it’s not like that for everyone. Every woman goes through menopause in her own way. So, how HRT affects weight loss can be different for everyone.  

weight loss due to lifestyle modifications

Some research says hormone replacement therapy (HRT) helps with weight loss, while other studies disagree. Many studies show that HRT can reduce belly fat, improve insulin, and lower the risk of heart problems. However, there is no recent study supporting the fact that HRT directly helps with weight loss. 

The Other Way Around

You know, during menopause, you go through a lot of symptoms, like hot flashes, night sweats, fatigue, joint pain, and sleep disturbances. These combined reasons may not let you lose weight but increase it.

However HRT may not directly shed pounds, but some factors associated with HRT might influence weight loss. It helps improve overall health and promote weight loss: 

1. Improving metabolism

HRT can affect metabolism, helping the body burn calories more efficiently, possibly leading to weight loss. A study suggests that HRT can reduce abdominal fat, which is often associated with metabolic problems and increased health risks.

2. Enhancing insulin sensitivity

HRT may improve insulin sensitivity, allowing the body to regulate blood sugar levels better and potentially reducing fat storage.

3. Promoting muscle mass

Oestrogen, a hormone used in HRT, can help preserve or increase muscle mass, boost metabolism, and aid in weight management.

4. Regulating your desire for food

Hormonal changes associated with menopause can affect appetite and food cravings. HRT may help regulate appetite, making it easier to control calorie intake and maintain a healthy weight.

5. Improving energy levels & mood

Menopausal symptoms such as fatigue and mood swings can impact physical activity levels and food choices. By easing these symptoms, HRT may promote a more active lifestyle, which can contribute to weight loss.

6. Promoting better sleep

Hormonal changes during menopause can disrupt sleep patterns, affecting weight management. HRT may improve sleep quality, leading to better overall health and potentially aiding in weight loss.

Modifying the Habits—For Promoting Weight Loss

In addition to hormone replacement therapy (HRT), it is advised that you change your lifestyle and modify your habits towards better weight loss and menopause transition journey. Here are some habits that you may tweak or adopt: 

1. Eat Healthy

Focus on a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit processed foods, sugary snacks, and high-calorie beverages.

2. Exercise Regularly

Exercise Regularly

Incorporate cardiovascular exercises (like walking, cycling, or swimming) and strength training into your routine. Aim for at least 150 minutes of moderate-intensity weekly exercise and muscle-strengthening activities on two or more days.

3. Manage your Stress

Practise stress-reducing techniques such as meditation, deep breathing exercises, yoga, or spending time in nature. High-stress levels can contribute to weight gain, so finding healthy ways to manage stress is crucial.

4. Sleep Properly

Prioritise good sleep by maintaining a consistent sleep schedule, creating a relaxing bedtime routine, and ensuring your sleep environment is conducive to restful sleep. Poor sleep quality can disrupt hormones that regulate appetite and metabolism, potentially leading to weight gain.

5. Control portion of your Meals

Pay attention to portion sizes and avoid eating large meals late at night. Eating smaller, more frequent meals throughout the day can help regulate appetite and prevent overeating.

6. Stay Hydrated

Drink plenty of water throughout the day to stay hydrated and promote feelings of fullness. Sometimes, people mistake thirst for hunger, resulting in unnecessary calorie consumption.

So Now you Know Does HRT Help With Weight Loss or Not!

So, can hrt help with weight loss? Well, it’s not that simple. Some studies say yes, while others aren’t so sure. But, there’s good news! Even if HRT doesn’t directly make you shed pounds, it can help in other ways. By improving your metabolism, making insulin work better, building muscle, controlling your appetite, and boosting your mood and energy, HRT can indirectly support weight loss during menopause. 

Never forget that your efforts matter. By eating right, exercising regularly, managing stress, sleeping well, watching your portion sizes, and staying hydrated, you can enhance the effects of HRT and achieve your weight loss goals. Just remember to talk to your doctor before starting any new treatment or lifestyle changes. With the right approach, you can feel your best during menopause and beyond!


Will HRT help lose belly fat?

Yes, but the results vary from person to person. Studies suggest that HRT reduces Menopause belly fat. But if you want long-lasting results try exercising regularly, managing stress, and controlling the portion of your meal. 

Will taking oestrogen help with weight loss?

Yes, oestrogen therapy may help with weight loss. The lack of oestrogen increases your insulin resistance, decreases muscle mass and stores fat around your belly. Taking oestrogen may boost your metabolism and help you lose weight. 

How can I lose my hormonal belly fat?

Talk to your doctor first, they will check if there is any underlying medical condition. Additionally, exercise regularly, avoid eating high fat and  processed food items. Stay hydrated and also manage your stress.

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