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The reality of menopause weight gain

As they get older, women may notice that staying at their usual weight becomes harder. It's common for weight gain to start a few years before menopause, during the time known as perimenopause. Weight gain often continues at about the rate of 1.5 pounds each year as a woman goes through her 50s.

The hormonal changes of menopause tend to make it more likely that women will gain weight around the abdomen, rather than the hips and thighs. But hormonal changes alone don't necessarily cause the weight gain. Instead, it's usually related to aging, as well as lifestyle and genetic factors.