Hormone imbalance can also wreak havoc on your weight. Keep in mind that perimenopause and other hormone changes can start when you are in your 40s. Estrogen dominance will definitely interrupt weight loss but so will the imbalance of  cortisol, leptin and insulin. We have a great article that covers, in great detail, how these hormones affect your body. Check out Balance These 4 Hormones If You Want To Lose Weight for more information!
To jumpstart your weight loss, the biggest focus should be to develop habits that will help you build or maintain your muscle mass. "The most effective way that women over 40 can boost their metabolism is by building muscle through weight-lifting and resistance training," says Dr. Peterson (more on that to come). But nutrition and sleep habits also play a role here.

Even if you’re eating reasonably well, you can still be in a calorie surplus. Whether you’re eating oversized portions, taking mindless bites while prepping family meals or grazing as part of a new work-from-home norm, all that noshing adds up. Tracking your food intake can be helpful. In one 24-week study, researchers found that time spent logging food intake was significantly linked to weight loss. If tracking your food (even with an app) sounds daunting, consider that by the end of the study, those who were still committed to tracking spent just 15 minutes a day doing it — about what you might spend scrolling through Facebook or Instagram.


Sleeping enough is important, and if your lifestyle is making you cheat sleep, then think about what you can do to get enough. Sometimes, however, biology is keeping you from enough shuteye, and it's imperative to solve that. "Untreated obstructive sleep apnea can lead to additional weight gain," says Dr. Stanford. If you are making all the right efforts to get restorative sleep and still don't feel restored, consider seeing a sleep doctor, who can drill down on the problem and help you find some solutions.
If you were very active in your younger years, you may have had some injuries.  Like a spicy pepperoni pizza does after dinner, those injuries from your carefree days can come back to haunt you.  These ghosts of injuries past show up in the form of early arthritis, bone spurs, tighter muscles, pinched nerves, etc.  After our 30’s, new injuries also take longer heal.  No wonder we slow down.

Have you noticed a little extra cushioning on your bottom, belly, and hips and increased difficulty losing those stubborn extra pounds? You are not alone. This is a common problem that women face as they are entering perimenopause and menopause. As a woman over 40 (and turning 50 this year), I understand your concerns. However, as a physician, I know that it is possible to achieve a healthy weight at this time of our lives.


Even if you’re eating reasonably well, you can still be in a calorie surplus. Whether you’re eating oversized portions, taking mindless bites while prepping family meals or grazing as part of a new work-from-home norm, all that noshing adds up. Tracking your food intake can be helpful. In one 24-week study, researchers found that time spent logging food intake was significantly linked to weight loss. If tracking your food (even with an app) sounds daunting, consider that by the end of the study, those who were still committed to tracking spent just 15 minutes a day doing it — about what you might spend scrolling through Facebook or Instagram.
As you reach mid-life, the pressures pile up. Just think of the typical stressors, like caring for kids and aging parents, facing financial burdens and dealing with the demands of a job. When you’re experiencing stress, your body responds by releasing the hormone cortisol. If your stress diminishes, your hormone levels return to normal, but if you’re experiencing ongoing stress from “adulting,” cortisol levels will remain high. This can set off a series of biological events that may lead to an increased appetite with more cravings and a propensity to store fat in your belly.
Gluten and dairy are two of the biggest culprits behind the ever-increasing rates of chronic illness, autoimmune diseases, and obesity. Gluten has been linked to increased inflammation, leaky gut syndrome, sleep disturbances, mood fluctuations, and skin issues.21,22 Consuming dairy can lead to inflammation, gut issues, and increased risk factors for a number of health problems. Banishing both gluten and dairy is one of the number one actions I recommend for you to take control of your health and your weight. To learn more read my book, The Autoimmune Solution.
To jumpstart your weight loss, the biggest focus should be to develop habits that will help you build or maintain your muscle mass. "The most effective way that women over 40 can boost their metabolism is by building muscle through weight-lifting and resistance training," says Dr. Peterson (more on that to come). But nutrition and sleep habits also play a role here.
It’s usually not just due to losing muscle mass over time (more on that later). "It's multifactorial," says Fatima Stanford, MD, MPH, obesity medicine physician scientist at Massachusetts General Hospital and Harvard Medical School. Numerous factors can sneak up on you and help you gain or hold onto weight, including your lifestyle, your food, your biology, and your sleep habits. The good news in that is that there are also numerous ways to tackle getting your weight to where you want it—you don't have to force yourself into one approach, and you get to choose what works for you.

While it seems like ankle weights should help our leg muscles tone faster than without the weights, our legs aren’t designed to carry around heavy feet. There is more risk for injury of tendons and ligaments than toning leg muscles. If you want to focus on leg toning, your best option is some body weight workouts or exercises such as lunges with weights.


This is a great article. I appreciate all this insight and help as hitting 40 a few years ago was a shock to my body for sure. I would also add to your stress reducing ideas to spend some time reading the Psalms in the Bible. The God who created you longs to take your burdens and teach you how to stop trying to solve all your problems on your own. He is there to show you the way to stress reduction and a while new/better way of doing life. If you don’t know God or how you can start a personal 1-on-1 relationship with Him, check out some of these helpful apps in the App Store: Knowing God Personally (by Power to Change), God Tools (by Cru), Life Conversation Guide (by North American Mission Board), or talk to a pastor at a local Christian church in your neighborhood. My rule of thumb is that while working to take care of my physical body throughout my lifetime, I never want to neglect my soul that will continue on for all eternity.

As you enter your forties, you are also entering perimenopause, when levels of your sex hormones progesterone and estrogen decline. Besides regulating your menstrual cycle and reproductive functions, these hormones also impact restful sleep and relaxation. A decrease in progesterone and estrogen levels may lead to sleep disturbances, restlessness, and insomnia.1 Because changes in sleep patterns have been associated with weight gain, sleepless nights may make weight loss increasingly difficult.2
Eating well isn’t just about skipping out on processed junk food. It’s also about filling up your plate with clean, healthy foods that can actually assist in your weight loss. Healthy fats like those found in olive oil, avocados and nut butters nourish your body while helping you feel full longer—which means you’re less likely to overeat. Incorporating healthy sources of protein like eggs and salmon will also help you feel more satiated as well as fuel the muscles you’re building through that regular strength training we mentioned above! Hungry during the day? Keep a small pack of heatlhy almonds or other nuts in your bag to snack on in a pinch.  Just a handful will keep you satisfied until your next meal, all while providing healthy protein, fat and fiber. Don’t wait until you’re tummy is growling! Be prepared.

When you were young, you probably didn't spend too much time thinking about preparing your body for the future. In your teens and twenties, you're in peak condition and it's the perfect time to start exercising. Cut to 20 years later and, if you didn't start exercising, you probably wish you had since there's something we all start to experience in our 40's—weight gain.

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