02/11/2025
HRT and Weight: The Real Story Behind Those Extra Pounds
My 2Kilo Club members are ending the year in style with one final push through November before we take our foot off the gas slightly over Christmas and enjoy the party season and all it has to offer, guilt free. 💃🏻
A question that came up in the group this week is one I imagine will resonate with many women, so I thought I’d share my reply.
“Is my HRT making me gain weight?”
If you’re on Hormone Replacement Therapy (HRT) and have noticed the scale creeping up, you’re not alone.
The answer, in most cases, is probably not though.
HRT, whether estrogen alone or combined with progesterone, is designed to ease menopausal symptoms and support your long term health.
While hormones do influence metabolism and fat storage, research shows that any weight gain directly caused by HRT is usually very modest, often just a few pounds, and sometimes only temporary, largely due to fluid retention.
It’s also completely normal for your body to go through a short adjustment period when starting HRT.
Some women notice a small increase of a few kilograms early on as the body rebalances in its new hormonal environment. This usually settles once hormone levels stabilize and your metabolism finds a new equilibrium, your body’s natural homeostasis.
And progesterone? It’s rarely a significant culprit.
So, why might the scale still move up?
The truth is that age, lifestyle, and natural hormonal changes after menopause play a much bigger role than HRT itself.
As we age, metabolism naturally slows, muscle mass can decline, and energy needs decrease, factors that quietly add up over time.
Here’s what you can control:
• Nutrition: Focus on whole foods, balanced meals, and consistent portion sizes.
• Movement: Strength training and daily activity preserve muscle, boost metabolism, and help your body use energy efficiently.
• Lifestyle: Sleep, stress management, and hydration are just as important as exercise and diet.
Bottom line:
HRT is rarely to blame for noticeable weight gain. Instead of seeing it as an obstacle, treat it as a tool for health while focusing on the habits that truly move the needle.
Because in the end, small, consistent actions beat blaming “hormones” every time.
And that’s exactly what my 2Kilo Club members are proving as we wrap up the year strong.