Why You Might Gain Weight on HRT & What to Do About It

Many women start hormone therapy expecting relief from hot flashes, brain fog, and mood swings — only to be frustrated when the scale starts creeping up. 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: • 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: lean protein, fiber, and smart carbs vs. hidden calories from fats • Why gut health and regular elimination matter for hormone balance Ready to stop guessing about your hormones? The Perimenopause Method is my 12-week program helping women 40+ get clarity on what's really going on with their hormones, metabolism, and health — with real testing and real support, not more guesswork: https://claudiapetrilli.com/the-perim... Related episodes: Ep. 67: Understanding Cortisol After 40 https://claudiapetrilli.com/67-unders... Ep. 78: Undereating After 40 https://claudiapetrilli.com/78-undere... Studies mentioned: Progesterone Therapy & Thyroid Function: https://pubmed.ncbi.nlm.nih.gov/23252... Walking 7,000 Steps a Day: https://jamanetwork.com/journals/jama... Optimizing Adult Protein Intak: https://www.sciencedirect.com/science... Connect with Claudia: Website - https://claudiapetrilli.com/ YouTube -    / @claudiapetrillihealthcoach8545   Instagram -   / healthcoachclaudia   Facebook -   / claudiapetrillihealthcoaching   Inquiries - https://claudiapetrilli.com/contact/ Free resources: Perimenopause Daily Checklist → https://claudiapetrilli.myflodesk.com... HRT 3-Day Crash Course → http://claudiapetrilli.myflodesk.com/... Training: Why You’re Exhausted, Moody & Inflamed → https://claudiapetrilli.myflodesk.com...