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: As women age, they naturally lose lean muscle mass (sarcopenia). Since muscle burns more calories than fat even at rest, this loss slows the overall metabolic rate.

: The "stress hormone" cortisol often remains elevated during menopause due to life stressors or poor sleep. High cortisol levels specifically signal the body to store fat in the midsection.

The accumulation of —fat stored deep within the abdomen around vital organs—is more than a cosmetic issue. It is linked to increased risks for: The reality of menopause weight gain - Mayo Clinic

Menopause-related weight gain is a common concern, with approximately experiencing noticeable weight changes . While often referred to as "menopause belly," this shift is driven by a complex interplay of hormonal fluctuations, natural aging, and lifestyle factors. Why Weight Gain Happens

The primary driver of menopausal weight gain is not just one factor but a combination of several biological shifts: