body fat

Why Your Body Can Change at Menopause—even if the Scale Doesn’t

November 17, 20251 min read

If you’ve thought, “My weight is about the same, but my body feels different,” you’re not imagining it. Large, long-term research found that around menopause:

  • Body fat climbs faster,

  • Muscle (lean mass) dips, and

  • Weight doesn’t necessarily spike—it often just keeps inching up like before, then levels off after the transition.

Why this matters
Muscle supports metabolism, strength, and energy. Losing some while fat rises can change how clothes fit, how you feel, and your long-term health—even if the scale looks stable.

What you can do (starting now)

  1. Lift weights 2–3x/week. Focus on whole-body strength (squats, pushes, pulls) and progress gradually.

  2. Prioritize protein daily. Build meals around protein + produce + healthy carbs/fats.

  3. Protect sleep and stress. Recovery hormones matter for body composition.

  4. Be patient and consistent. These changes unfold over years; your steady actions work.

Takeaway
Menopause is a body-composition shift, not just a weight story. With the right plan, you can keep (and rebuild) muscle, steady energy, and confidence in your skin.

Citation
Greendale GA, et al. Changes in body composition and weight during the menopause transition. JCI Insight. 2019;4(5):e124865. https://doi.org/10.1172/jci.insight.124865

Physician Founder of Midlife reMDy

Caissa Troutman MD

Physician Founder of Midlife reMDy

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