Perimenopause Simplified

117. The Real Reasons HRT Can Cause Weight Gain (And What Helps)

July 15, 2026·14 min
Episode Description from the Publisher

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   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

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