Body

Menopause Belly Fat: What to Do When Nothing’s Working

November 30, 2025

Alexandra Degiorgio is a certified Integrative Nutrition Health Coach and Fasting Lifestyle Coach specialising in hormone-smart wellness for women in midlife. Drawing on lived experience, scientific insight, and a deeply supportive coaching style, she helps women move from exhaustion and confusion to clarity, confidence, and sustainable energy. Whether it’s navigating perimenopause, managing menopause weight gain, or building a rhythm that feels nourishing again - Alex’s work is grounded in real-life solutions, not fads.

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Midlife woman looking at her reflection in a mirror.

There’s nothing more disheartening than doing all the “right” things – eating well, moving your body, staying hydrated, cutting back on alcohol – and still feeling like your body is working against you.

Especially around your belly.

You’re not imagining it. The weight sits differently now. The things that used to work… don’t. And instead of feeling strong and clear, you’re tired, puffy, and increasingly uncomfortable in your own skin.

This is the part no one prepared us for – the slow, confusing shift where your clothes don’t fit the same, your sleep feels broken, and your motivation disappears.

And no – it’s not about vanity.

It’s about agency. About feeling at home in your body. About being able to show up fully in your life without constantly second-guessing what’s changed, why it’s happening, or how to “fix” it.

If you’ve been staring down your midsection wondering what the hell is going on – and more importantly, how to actually support your body through this – you’re in the right place.

Let’s walk through what’s really happening (hormonally and metabolically), and the small but powerful shifts that help you get back in rhythm.


First: it’s not about willpower

Let’s clear this up right now.

If you’ve been quietly beating yourself up about the extra weight – especially around your belly – wondering if you’ve just “let yourself go” or lost your discipline… I need you to stop.

This isn’t a willpower issue. It’s a biology shift.

Your body isn’t broken. It’s not betraying you. It’s adapting to a new hormonal landscape – and that includes major changes in how you store fat, how you process stress, and how your metabolism functions.

Here’s what’s at play:

  • Estrogen is declining, which affects everything from fat distribution to insulin sensitivity. Lower estrogen often means your body starts holding more fat around your belly (it’s a survival mechanism, not a personal failure).
  • Insulin becomes less efficient, making blood sugar harder to regulate. This can lead to more cravings, energy dips, and increased fat storage even if you haven’t changed your eating habits.
  • Cortisol (your stress hormone) tends to rise or stay elevated longer – especially if you’re juggling work, kids, ageing parents, or just life. And chronic stress keeps your body in fat-storage mode, particularly in the abdominal area.

These three hormones work together in ways that directly impact weight, energy, mood, and sleep. So if your body feels different – it is different.

And no, you can’t out-discipline a hormone shift. But you can support your body in smarter, more sustainable ways.

Let’s break that down next.


1. Insulin resistance: why sugar crashes hit harder now

Let’s talk about one of the biggest hormonal shifts that affects women in midlife – insulin resistance.

Insulin is the hormone that helps move glucose (sugar) from your bloodstream into your cells so your body can use it for energy. But as estrogen levels start to fluctuate and decline during perimenopause and postmenopause, your cells become less responsive to insulin.

That means the same meals that once gave you steady energy may now lead to blood sugar spikes, crashes, and stubborn fat storage – especially around your belly. This isn’t about overeating or “doing something wrong.” It’s your body adapting to a new hormonal rhythm.

If you’ve noticed any of the following, insulin resistance might be part of the picture:

  • Cravings that hit hard (especially for sugar or carbs)
  • Afternoon energy slumps or feeling shaky between meals
  • Feeling hungry soon after eating
  • Gaining weight around your midsection even with the same diet and exercise

This is incredibly common in midlife – but also very reversible with the right support.

What helps:

  • Prioritize protein at every meal – especially breakfast. It helps stabilize blood sugar, reduce cravings, and improve satiety.
  • Pair protein with healthy fats and fiber. This slows glucose absorption and keeps energy steady throughout the day.
  • Experiment with fasting rhythms if it feels right for you. When done properly (and not in deprivation mode), fasting can help reset insulin sensitivity and stabilise energy.

Small shift: Start your day with a savoury, blood sugar–balancing breakfast – like eggs, avocado, and greens – instead of cereal, toast, or granola. You’ll notice fewer crashes, steadier focus, and more balanced energy by midday.

Pro tip: Why a protein-rich breakfast matters more in midlife:
During perimenopause and postmenopause, starting the day with protein (instead of carbs) helps lower cortisol, reduce insulin spikes, and set your blood sugar up for stability all day long.

It also supports muscle maintenance – which becomes harder as estrogen drops – and helps curb the cravings and energy crashes that often hit mid-morning.

Think of it as your hormonal anchor for the day.


2. Cortisol: the hidden belly fat hormone

Let’s talk about stress – the kind that simmers quietly in the background of your life.

You might not be having daily meltdowns, but your system is still carrying a lot. Work deadlines. Ageing parents. Teenage moods. That constant mental load that no one else seems to notice, but somehow you’re managing.

That steady undercurrent of stress keeps your cortisol levels high – and over time, that can directly affect how your body stores fat. Especially around your midsection.

Here’s the kicker: your body’s not malfunctioning. It’s trying to protect you. Belly fat is easier to access quickly when you’re in fight-or-flight mode – and your brain, reading those stress signals, assumes you’re in survival mode.

So even if you’re eating clean and doing everything “right,” if your nervous system is stuck on high alert, your body will struggle to release that weight.

And if you’re hammering yourself with HIIT workouts five times a week? That can actually make things worse. More stress → more cortisol → more stubborn belly fat.

A woman walking in nature at golden hour.

What helps:

  • Trade long cardio sessions for strength training and walking (especially in nature if you can).
  • Take true breaks – not just “me time” that still involves multitasking or screens.
  • Prioritize practices that actively regulate your nervous system: breathwork, meditation, red light in the evening, quiet walks after dinner.
  • Learn your personal stress patterns and work with your body’s signals, not against them.

Small shift: Set a 3-minute timer and do nothing. Not scroll, not plan, not tidy – just breathe. You’ll be surprised how much your nervous system softens with even that tiny pause.

This is the part most women skip – not because they don’t care, but because it feels indulgent. But in midlife, rest isn’t a luxury. It’s a metabolic necessity.

Pro tip: Why managing cortisol is key to midlife weight balance:

During perimenopause and postmenopause, your adrenal glands take over some of the hormone production your ovaries once handled – including estrogen. That means chronic stress directly impacts your hormonal balance.

When cortisol stays elevated, it signals your body to hold on to fat (especially around your belly) and can disrupt sleep, digestion, and hunger hormones like leptin and ghrelin.

The fix isn’t more discipline. It’s more recovery. Supporting your adrenals through gentle movement, restorative sleep, and true relaxation helps your hormones – and your body – find equilibrium again.


3. Lower estrogen = slower metabolism (and why that matters)

Estrogen isn’t just about your cycle – it’s a key player in how your body builds and maintains muscle mass, bone strength, and metabolic efficiency.

When estrogen starts to decline in perimenopause and postmenopause, so does your lean muscle. And because muscle is metabolically active tissue, less muscle means fewer calories burned at rest – even if your eating and exercise habits haven’t changed.

This is where so many women start to feel like they’re doing everything right but still gaining weight. The old formula of “eat less, move more” doesn’t just stop working – it can actually backfire, pushing your body into stress mode and further slowing metabolism.

A woman doing strength training.

What helps:

  • Prioritize resistance training 2–3 times per week to preserve muscle and stimulate your metabolism.
  • Fuel, don’t restrict – drastic calorie cuts or over-exercising can trigger further hormonal stress.
  • Front-load protein – aim for 30–40g of high-quality protein at breakfast to support muscle and balance blood sugar.
  • Fast in a hormone-smart way – I teach women to match fasting rhythms with their life, not force it. Your metabolism needs fuel to function.

“Once I stopped under-eating and over-exercising, everything started to shift. I felt stronger, clearer, and finally saw progress.” — Tara.

Your body isn’t broken – it’s adapting. And it deserves support, not restriction.


4. Fasting isn’t a quick fix – but it can work when done right

I see it all the time: women pushing through long fasts, running on coffee, skipping meals, and wondering why their energy is tanking and their hormones are all over the place.

Let’s get clear: fasting is a tool, not a punishment. And it’s not a one-size-fits-all solution – especially in midlife.

Yes, fasting can absolutely support insulin sensitivity, reduce inflammation, and improve metabolic flexibility. But the way you fast matters – and doing it in a way that’s misaligned with your hormones can backfire, leaving you more exhausted, inflamed, and dysregulated.

If you’re trying to force a 16:8 fast while sleeping poorly, training hard, and under-eating? That’s not support – that’s stress.

A woman breaking her fast mindfully - seated at a table with a nourishing plate.

What actually works:

✔️ Start slow. A 12–14 hour fast (say, 7pm to 9am) is often enough to see benefits without overwhelming your system.

✔️ Track your symptoms. If you still have a cycle, avoid longer fasts in the luteal phase (after ovulation). If you’re postmenopausal, pay attention to sleep, stress, and cravings – they’ll tell you more than a calendar app.

✔️ Break your fast with a real meal. Prioritize protein, healthy fats, and fiber – not just a bar, smoothie, or coffee. Your body needs nutrients, not just calories.

✔️ Stay flexible. Fasting isn’t about rigidity – it’s about creating rhythms that work with your body, not against it.

“When fasting is matched to your hormones and lifestyle, it stops being a battle – and starts becoming a rhythm.”

This is exactly the kind of nuance I teach in my 1:1 coaching. Because the truth is, how you fast matters just as much as if you fast – especially in midlife.


5. The mental load counts too

We can’t talk about midlife weight gain without naming what’s often invisible: the mental load.

The endless to-do lists. The family calendars. The emotional labor. The way your brain never truly powers down – because there’s always something (or someone) relying on you.

This isn’t just about stress in theory. It’s biology.

When your nervous system is constantly in “on” mode, your body can’t prioritise digestion, metabolic repair, or hormone balance. It stays in survival – even if you’re doing all the “right” things with food, movement, or fasting.

And let’s be real: this isn’t just a time management issue. It’s the emotional weight of holding everything together, often quietly and without thanks.

A woman journallling with a calming tea and candle.

What helps:

✔️ Get it out of your head. Whether it’s a paper planner, a task app, or voice notes on your phone – externalizing your mental load is a form of nervous system support.

✔️ Share the load. You don’t have to do everything alone. Delegate where you can. Ask your partner, your kids, your team to step up – not as a favor, but as a shift in default.

✔️ Make rest non-negotiable. Not just physical rest – but mental rest, too. This might look like saying no, setting clearer boundaries, or doing something just because it brings you joy.

“Rest isn’t a reward for getting everything done. It’s a requirement for a regulated, resilient body.”

This piece is often the hardest for women – because we’ve been conditioned to keep going, keep giving, and keep proving. But the truth is, your body is always listening. And when you honour your need for pause, you give your metabolism the safety it needs to recalibrate.


Final thoughts: it’s not just about belly fat

A close-up of a midlife woman’s hands - resting on her belly.

I know the belly fat is what brought you here.

It’s the thing we see in the mirror. The thing that makes our clothes fit differently. The thing we feel self-conscious about at school drop-off, in meetings, or when we’re changing in front of our partner.

But underneath that? Most women I work with aren’t just chasing a smaller waist.

They’re craving clarity. Confidence. Ease.

They want to feel at home in their body again.

And that doesn’t come from cutting carbs or counting almonds. It comes from understanding what your body actually needs right now – and giving it the kind of support that meets you in this season of life, not the one you were in 10 years ago.

This work isn’t about “fixing” you.

It’s about backing you. With rhythms that honour your hormones, tools that work with your biology (not against it), and coaching that leaves you feeling informed, energised, and reconnected to your body.

“Your body isn’t broken. It’s just asking you to listen in a new way.”

If you’re ready to shift from frustration to clarity – I’d love to support you.

You can explore my current coaching options here or get in touch to see what might be the best fit.

You’re not meant to do this alone. And the truth is, you don’t have to.

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alexandra degiorgio wellness 2025

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Because menopause doesn't come with a manual

San Diego, CA