11 Reasons You’re Not Losing Weight in Menopause with Exercise

What are the reasons you’re not losing weight in menopause with exercise even when you’re trying? It varies from woman to woman, but there are common denominators for midlife women. Explore these if you can’t get that needle to move. And I’ll share another podcast you might love too.

Flipping 50 Fitness Specialist

This episode is brought to you by the Flipping 50 Fitness Specialist. If you love training, coaching, and working with women in midlife – especially if you are one, this is your stop. If you’re clients are not losing weight in menopause exercising with you? You can fix it.

#1 Hidden Food Sensitivities

A food allergy is obvious. A food intolerance is mysterious. It’s the result of the inability to digest or absorb a food completely. It happens later in life and often can happen when hormone changes occur that also affect the gut. That is, once perimenopause begins it’s a perfect storm.

If you’ve tried core work and cardio and strength training and still can’t get rid of the pregnant belly, you may need to redefine “healthy food.” Gas, bloating, and diarrhea, fatigue and inability to lose weight are all just clues. They can be related to reduced production of enzymes needed to break down food that occurs with age.

Doing any of these?

  • Eating yogurt, cheese and cottage cheese? You may be lactase deficient and unable to breakdown lactose.
  • Eating lots of beans, bran, fruit or sugar alcohols? You may lack the enzymes to break down the volume of carbohydrates. Vegetarians or vegans are most susceptible.
  • Histamines in foods – healthy foods you may be eating on purpose – could actually be causing you problems. Spinach, tomatoes, and fermented foods contain foods that breakdown into histamines.
  • Gluten sensitivity – a lot of women who never test positive for Celiac disease (true allergy) experience fewer gut issues and fatigue when they remove gluten or significantly reduce it. The same goes for wheat.


Reduce your exposure to trigger foods. Support your system with enzymes. Foods you eat every day are the ones you’re most likely to become sensitive to and specific foods are greater triggers than others.

A simple Food Flip can help reduce the stress on your liver and support a metabolism boost, while reducing your exposure to unknown sources of inflammation. I offer one a few times a year, link in the show to learn more.

#2 Nutritient Deficiency

It’s been said many times. The U.S. is the most overfed and undernourished country in the world. If you’re a woman used to cutting back and eating iceberg (or spinach for that matter) far too often you may be missing micronutrients you need.

It’s nearly impossible to eat a balanced diet that contains even the RDAs, which doctors, and RDs alike now recognize as too low for anyone to thrive in 2021. Take a good look at your diet and the diversity of the foods you eat. Consider supplementing with an intelligent high quality multivitamin at the least. (A one-a-day vitamin is probably not your best choice today).

The best way to know what your body needs is a micronutrient test. Then you’re not blindly supplementing. Today you can use your insurance through your doctor or order your own direct lab. Results tell you exactly what effect your diet and supplements are having on you.

#3 Lack of Sleep

Hormones are directly related to your ability to store or burn fat and to counter that with gaining or at the least maintaining lean muscle. So if you’re not losing weight in menopause, look here. You nurture those specific hormones when you sleep.

Of all the reasons you’re not losing weight sleep is the most passive to fix. The number one thing you can do to improve weight loss results without changing anything else is get the right quantity and quality of sleep for you.

Instead of choosing an arbitrary quota, test your sleep needs. Go to bed when you’re tired. Keep the bedroom cool, dark, and quiet, and wake naturally. Conduct that experiment 3-5 times and compare the hours you slept to what you regularly get. Close that gap.

No amount of dieting or exercise will benefit your muscles or metabolism without sleep. Sleep Yourself Skinnymentioned on the show

#4 Exercise of the Wrong Type or at the Wrong Time

Strength training should be your highest priority after 40 something. The younger a woman gets comfortable weight training the less likely she’ll associate menopause with weight gain. Not losing weight in menopause is frequently tied to lack of muscle. 

Muscle is the organ of longevity and it is paramount to metabolism. Cardiovascular exercise and mobility activities simply do not have the same effect on your body’s ability to expend energy. Aging will naturally result in a loss of muscle if you’re not doing resistance training to stop it.

Long-term changes in body composition occur thanks to strength training exercise for major muscles just twice a week. The exercise has to be of adequate stimulus. That is, it must cause muscular fatigue. Heavy weight training shows the greatest success in supporting weight loss (fat loss specifically).

What if…

If you can’t tolerate heavy weights, or are just starting out, even lighter weight training should take you to muscular fatigue to optimally change the muscle.

Of course, you need that cardiovascular exercise. You just need less of it than you’ve been led to believe. And temporarily you may even need to ditch it to heal your cortisol levels.

Perform high intensity exercise (whether interval training or weight training) early in the day when possible and low intensity exercise late in the day to work with your hormones.

#5 Lack of Rest & Recovery

Most women erroneously exercise more and eat less to lose weight.  That’s like one foot on the accelerator and one foot on the brake. Your body does no better than a car would in that situation. The biggest problem with increasing exercise is that you fail to increase the amount of rest between sessions.

After 40 the need for recovery increases. Your capacity to exercise at high intensity does not change (in fact it is required for optimal hormone balancing exercise) with age. However, without adequate recovery you are breaking down muscle twice as fast as you’re repairing it.

All exercise is a catabolic experience. There’s micro damage to muscle. If repair isn’t allowed at the cellular level between sessions your metabolism can’t benefit from exercise.

Not Losing Weight in Menopause? Check your need to rest

Exercise creates the opportunity for fitness. Rest & recovery that includes light movement, sleep, adequate calories and protein creates fitness. Increase your fitness and you’ll increase your metabolism.

For one of my 67-year-old clients increasing rest and recovery resulted in a weight loss of 100 pounds after multiple years of a weight loss plateau – and during the pandemic, exercising exclusively at home she crossed that threshold.

Sound Like Possible Reasons You’re Not Losing Weight in Menopause?

If either exercise the wrong way or a lack of rest & recovery sounds like you, the answer is not to keep trying exercise programs that weren’t made for you. The answer is a reset.

If you’re not exercising right, you’re doing too much resulting in constant exhaustion, or frequent injuries or just doing something like lifting 4 times a week (allowing a complete lack of recovery and or evidence what you’re doing is not helping your metabolism at all)… a 5 day short reset is a good start. Listen, you can always go back to what’s not working.

The Hormone Effects

Each of the aforementioned reasons you’re not losing weight contributes to one or more of the following underlying hormonal reasons you’re not losing weight.

#6 Estrogen Decline

Estrogen decline is a natural part of aging and menopause. It provides a stimulus for lean muscle when it’s present in adequate levels. When that stimulus is removed you need it from somewhere else. Your exercise has to change when your hormones do. The same exercise will not get the same results.

If you’re not losing weight in menopause while exercising this often means backing off and getting the rest mentioned earlier. For others it means shifting from cardio to a strength training emphasis, and still others – the majority of women need to find an intensity they’ve never had with exercise.

Now more than ever you need adequate intensity, that is reaching muscular fatigue… not general exhaustion at the end of a session.

You may have to dig yourself out of the hole you’re in before you add that intensity. I’ll include my TEDx talk here to demonstrate how this worked, for myself as well as two clients.

#7 Cortisol Imbalance

If cortisol is too high when it should be low or low when it should be high you are probably storing belly fat like a squirrel in the fall. Adequate sleep is your first line of defense. If you’re body is stressed it will hold onto every calorie for that rainy day. 

#8 Low DHEA levels

DHEA production levels decline with age. That’s a problem because DHEA is a precursor to balance of estrogen, progesterone, and testosterone. You don’t hear much about DHEA, partially because those sex hormones are stealing the show. Low levels of it can also be confused with cortisol imbalance: you may get sick more often, be unable to sleep, or feel tired much of the time.

#9 Estrogen Dominance

Your body may in fact be producing too much estrogen, or if you’re doing HRT, the level of estrogen may be just right for you yet. But there’s more. Even low, its high. Estrogen levels do of course drop as you enter perimenopause. But if you’re under a great deal of stress, or self-imposing it with loads of exercise and dieting, cortisol is blocking progesterone. That’s a problem if you want to feel calm and relaxed. Progesterone and estrogen should be in balance relative to each other. So if progesterone is blocked by cortisol, estrogen is high. Belly fat is usually the result.

#10 Low Testosterone

Testosterone is your alpha-girl hormone. Boardroom to bedroom it gives you confidence. It also supports lean muscle and makes those workouts you’re doing more beneficial. Without it you lack muscle tone, energy, and libido. (You’re not alone: 80% of women in menopause report low libido. It doesn’t have to be just because it’s “normal.” Modifying your exercise can help you (and your partner) improve libido.

#11 Decreasing Growth Hormone

Growth Hormone (GH) is another hormone oh, so important for your lean muscle maintenance. GH production declines with age, too. Sleep is a must for more GH. If you’re on a “win-back” campaign for muscle, boost GH naturally by doing 10-minute interval training sessions 1 or 2 times a week (plus a warm up and cool down), and by lifting heavy weights. Then recover by spending plenty of time in deep sleep, when GH is produced.

The bottom line is this.

Your body doesn’t want to carry extra weight. Habit changes can positively influence hormones. You have the ability to turn it around at any age. Are you going to generate more estrogen 10 years after menopause? No but you will support your cortisol and your insulin levels. You will if you’re in perimenopause or early post menopause be able to improve your own hormone balance and boost natural support so you need less HRT if you choose to use it.


Pietzak, M. Celiac disease, wheat allergy, and gluten sensitivity: when gluten free is not a fad. JPEN. J. Parenter. Enteral Nutr. 36, 68S–75S (2012).

Catassi, C. et al. Non-Celiac Gluten Sensitivity: The New Frontier of Gluten Related Disorders. Nutrients 5, 3839–3853 (2013).

Hot, Not Bothered: 99 Flips to Slimmer, Trimmer, Fitter, Faster So You Can Master Metabolism Before, During, and Long After Menopause, Atkinson, D.

You Still Got It, Girl! The After 50 Fitness Formula for Women, Atkinson, D.

Resources mentioned:

Flipping 50 Fitness Specialist

Personal Trainers & Health Coaches who want to grow their business in 2021

Food Flip (currently open – but closing soon)

5 Day Flip – it’s free you’ve got nothing to lose and energy to gain

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