Perimenopause Simplified

124. Gaining Weight on HRT? Here's How to Fix It

September 23, 2026·13 min
Episode Description from the Publisher

Many women start hormone therapy expecting relief from hot flashes, brain fog, and mood swings - only to be frustrated when the scale starts creeping up. While providers often dismiss it, weight gain on HRT is a real experience for many. In this episode, Claudia explains why it happens, which hormones play a role, and what you can do to support your metabolism in midlife. What you'll learn in this episode: How progesterone can sometimes trigger water retention (even though it's a diuretic) Why estrogen balance matters for fat distribution, insulin sensitivity, and fluid shifts The risks of too much testosterone and how it impacts weight and symptoms The natural metabolic changes over 40 that make weight management harder Key nutrition strategies: prioritizing lean protein, fiber, and smart carbs while watching hidden calories from fats The importance of gut health, daily detox, and pooping regularly for hormone balance     If you want to learn more, my course Perimenopause HRT Roadmap is on sale this month through September 25th. Save $25 with code: SAVE25.   Links Mentioned: Ep. 67: Understanding Cortisol After 40: Why You Need It, Why It Becomes Imbalanced & What To Do About It Ep. 78: Undereating After 40: The #1 Habit Wrecking Your Hormones & Metabolism Progesterone Therapy & Thyroid Function Walking 7000 Steps a Day Oura Ring Optim Ring Pedometer to Track Steps Optimizing Adult Protein Intake   LOVE THE SHOW? Please subscribe, leave a 5-star rating, review, and share with other women, so they can get the support they need in perimenopause!    CONNECT WITH CLAUDIA:  Website YouTube Instagram Facebook Inquiries

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