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Hormonal Weight Gain

Dariella Gonitzke, MS, RD, FMN • Jun 24, 2023

Hormonal weight gain is tricky and usually involves several factors. Discover how hormones and weight gain go together and how you can use your lifestyle to gain control.


Can hormone imbalance cause weight gain? Yes. If you’ve ever felt like you’ve put on weight for no reason, with no significant changes in your diet pattern, exercise routine, or other lifestyle habits, it’s possible that hormones are to blame. 

Hormonal weight gain can occur in conjunction with a medical issue, as a natural part of your aging process, or during certain seasons of life characterized by hormonal shifts, such as menopause. 

Regardless, it can be frustrating to feel like you don’t have any control over hormones and weight gain. Let’s examine why exactly hormonal changes can translate to fluctuations in your weight and what you can do about it. 

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Hormonal Weight Gain Symptoms

Hormonal weight gain can affect anyone. While it’s commonly thought that only women have to deal with the effects of hormones on their weight, the truth is that it affects men, too. 

The main difference in how men and women experience it is how the associated fat distribution falls on their bodies. Men tend to accumulate extra weight in their abdominal area. Premenopausal women are more prone to weight gain around their thighs and hips, whereas postmenopausal women tend to gain weight around their abdomen.

A number of hormonal imbalances can contribute to unintentional weight gain. Some may be due to levels of certain hormones being too high while others are too low. This also means that hormonal weight gain may come with different symptoms, such as: 

  • Fatigue
  • Trouble sleeping
  • Low mood
  • Changes in bowel habits
  • Skin changes like acne
  • Feelings of brain fogginess
  • Frequent thirst and urination
  • Sweating more than usual
  • Changes in the menstrual cycle

Why it Occurs

Everyone has unique factors playing a role in their hormonal weight gain. Common medical factors that may contribute can include: 

  • Menopause: Defined as a season that begins once a woman has stopped having her regular menstrual period for at least 12 months, menopause denotes a significant reduction in estrogen production. This can cause weight gain due to disrupted sleep patterns, slower metabolic rate, reduced lean body mass, fat distribution changes, and lower calorie needs. 
  • Polycystic Ovary Syndrome (PCOS): In PCOS, the ovaries or adrenal glands produce more male hormones than normal. This results in ovarian cysts and a higher risk for weight gain, as many women experience insulin resistance as a result of PCOS-related hormone changes. 
  • Insomnia: This is a disorder in which people have difficulty falling and staying asleep. Unfortunately, a chronic lack of sleep has been associated with a higher risk for weight gain. Hormonal factors like reduced insulin sensitivity, higher levels of ghrelin, inflammation, and lower leptin levels appear to play a role in sleep disruption.
  • Underactive thyroid: Hypothyroidism is a condition in which the thyroid gland - which controls things like energy, body temperature, and mood - is underactive and not producing enough thyroid hormone. Unintentional weight gain often occurs in conjunction with inadequate thyroid hormone production. 
  • Endometriosis: In this condition, uterine tissue abnormally grows outside of the uterus and can be painful. Medical management often includes reducing ovarian estrogen production. Having excess estrogen can promote weight gain from an increased appetite, water retention, and bloating. 

As you can see, each of these conditions can involve a variety of hormonal imbalances as well as unique symptoms depending on the individual. 

5 Hormonal Imbalances and What You Can Do

If you’re struggling with suspected hormonal weight gain, the first step is to speak to your healthcare provider. They can provide a comprehensive medical exam to diagnose a potential underlying medical condition and help you identify imbalances. In some cases, medications or hormone replacement therapies may be indicated under the supervision of your doctor or specialist.

In order to achieve and maintain a healthy weight range, it’s important to identify areas where you might be able to improve your lifestyle habits. Let’s take a closer look at five hormones that can play a role and how you can help put them back in order. 

1. Estrogen

The primary role of estrogen is to regulate a woman’s reproductive cycle, but it’s also involved in other processes in both sexes. Having too much or too little estrogen can disrupt the hormone’s ability to help regulate things like appetite, energy expenditure, metabolism, inflammation, and body fat distribution, which may promote weight gain. 

To help balance your estrogen levels: 
  • Support a healthy weight by exercising regularly and eating a diet rich in minimally processed and whole foods. 
  • Include foods like orgainic soybeans, flax seeds, and sesame seeds in your diet as they contain phytoestrogens, which are plant compounds that act like estrogens in the body and may help balance your natural hormones in a way that is cancer-protective.
  • Get your vitamin D levels checked and supplement as directed, as vitamin D plays a role in estrogen synthesis.

2. Ghrelin

Also called “the hunger hormone”, ghrelin is secreted by the digestive tract and works with the brain to regulate appetite. Additionally, it helps promote muscle growth by telling the pituitary gland to release growth hormone. Having a sensitivity to ghrelin may be associated with unintentional weight gain. 

To help normalize your ghrelin levels: 
  • Listen to your body’s cues and eat regularly as your ghrelin levels are highest right before you eat
  • Achieve and maintain a healthy weight, as being overweight may increase sensitivity to ghrelin and increase appetite
  • Improve your sleep quality and duration, as lack of sleep has been associated with higher ghrelin levels

3. Insulin

Insulin is released after you eat to help move glucose molecules into your cells where they can be used for energy. It also helps transport glucose to the liver and muscles to be stored as glycogen for later energy use. People with insulin resistance or type 2 diabetes struggle to use insulin correctly, which leads to higher-than-normal glucose levels. When this happens, excess glucose is stored in fat cells and promotes weight gain. 

To improve insulin sensitivity: 

  • Exercise for at least 30 minutes 3-5 days per week, particularly resistance training
  • Improve your quality of sleep, aiming for 7-9 hours per night
  • Practice stress management, as high levels of cortisol can also reduce insulin sensitivity
  • Eat 1-2 servings of carbs per meal. Consistent carbohydrates are key to glucose and insulin control. 
  • Never eat a carb alone! Always pair carbs with protein, even fruit. 
  • Reduce your intake of added sugars, especially fructose and increase fiber intake by eating more whole food carbohydrate sources 

4. Cortisol

Known as the primary stress hormone, cortisol is released by the adrenal glands. It’s also involved in your metabolism, inflammatory response, sleep cycle, and blood sugar regulation. Chronic stress can lead to continuously elevated cortisol levels, which can promote things like increased appetite and sugary carbohydrate cravings that may lead to weight gain.

To manage your cortisol levels: 
  • Be intentional with your rest and relaxation
  • Make time for things you enjoy, like listening to calming music, painting, socializing with friends
  • Seek therapy to provide mental health support 
  • Try mindfulness practices and meditation
  • Optimize your sleep, as a chronic lack of sleep can raise cortisol levels
  • Try taking adrenal supportive herbs like ashwagandha or holy basil 

5. Leptin

Fat cells produce leptin which acts on the brain to help regulate hunger-fullness cues. Some evidence suggests that people with obesity may have some resistance to leptin. Having leptin imbalances may affect food intake, body weight, appetite, and energy expenditure. 

To help normalize your leptin levels: 
  • Eat a high protein, high fiber diet to help with satiety 
  • Achieve and maintain a healthy weight, as reducing body fat can also help reduce leptin levels
  • Exercise regularly, considering a combination of things like swimming, biking, jogging, weight lifting, and playing sports you enjoy
Hormonal weight gain can be frustrating. If you’re experiencing unintentional weight changes, it’s always best to start by speaking with your healthcare provider. Additionally, consider whether there are areas in which you may benefit from making healthier lifestyle changes. 

If you’re not sure where to begin with nutrition, meeting with a registered dietitian knowledgeable in hormones and weight gain is a great step. Book a free 20-minute discovery call today.

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By Dariella Gonitzke, MS, RD, FMN 14 Feb, 2024
Can eating certain foods really improve your hormones? Yes! There are foods that provide our body with the nutrient necessary to make healthy hormone levels. There are also foods that support the liver and the proper metabolism of our hormones, which helps to prevent accumulation of certain hormones. Incorporating these hormones supportive foods in your diet can help keep your hormones in balance and prevent/reduce period problems. Although there is limited research on nutrition and hormones, this doesn’t mean these holistic health practices have no benefits. It just means that these benefits haven’t been studied and proven effective. Scientific research is expensive and time-consuming. These two factors make it easy for pharmaceutical companies or hospitals to get funding to research a new drug or treatment protocol. But this also makes it fairly prohibitive for studies on food or other alternative medical treatments to occur. There just aren’t many people who will provide funding to study whether or not seed cycling can help support women’s menstrual cycles. It’s well known that there is a massive gender bias in clinical research and it’s only been about 20-30 years since women were even required to be included in clinical trials. Studying the menstrual cycle and the factors that influence it just isn’t a high priority on the list of medical research topics. Because of this, we frequently have to rely on anecdotal evidence, along with our own best judgment, to determine if these holistic practices have any benefit. With all that said, let’s move on to my favorite go-to hormone balancing foods! Let’s go! Favorite #1: Seeds
By Dariella Gonitzke, MS, RD, FMN 12 Feb, 2024
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Hydration is key for maintaining overall health, and it plays a significant role in migraine prevention. Dehydration can trigger migraines or worsen their severity. By ensuring you stay adequately hydrated throughout the day, you can reduce the likelihood of migraine attacks. Additionally, magnesium glycinate has emerged as a promising supplement for migraine relief. This essential mineral helps regulate neurotransmitters and reduce inflammation, both of which are implicated in migraine development. By incorporating magnesium glycinate into your daily routine, you may experience relief from migraine symptoms by targeting the underlying inflammatory processes contributing to pain. Prioritizing Sleep and Rest Another crucial aspect of migraine management is prioritizing sleep and rest. Lack of sleep can act as a trigger for migraines or exacerbate their severity. It's essential to establish a consistent sleep schedule and ensure you're getting enough rest each night. 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Changes in hormonal levels, particularly fluctuations in estrogen, are commonly associated with the onset of migraines, and certain periods in a person's life may be particularly prone to hormonal influences. Here are some key stages and factors related to migraines and hormones: 1. Menstrual Migraines : Many women experience migraines related to their menstrual cycle. These migraines often occur in the days leading up to menstruation or during the first few days of the menstrual period. The drop in estrogen levels that occurs during this time is thought to be a contributing factor. 2. Menopause : Hormonal changes during menopause, specifically the decline in estrogen levels, can also trigger migraines in some women. The transition to menopause may be associated with an increase in migraine frequency or intensity for some individuals. 3. Pregnancy : Hormonal changes during pregnancy can have varying effects on migraines. 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There are many natural solutions to balancing your hormones that don't involve birth control or other medications. Conclusion Managing migraines requires a multifaceted approach that addresses hydration, nutrition, sleep, stress management and hormone balance. By incorporating these strategies into your daily routine, you can take control of your migraines and improve your quality of life. If you're struggling to manage your migraines or would like a more personalized guidance on implementing these strategies, I’d be happy to help! Together, we can work towards finding effective solutions and helping you live a life free from the grip of migraines. I've had great success with my clients over the last 15 years, helping them to identify their triggers and givng them a tailored plan that was realistic to their lifestyle. Schedule a call with me today!
By Dariella Gonitzke, MS, RD. FMN 25 Oct, 2023
Food sensitivities can affect you in so many ways. And they’re a lot more common than most people think. I'm not talking about anaphylaxis or immediate allergic reactions that involve a strong immune response. Those can be serious and life-threatening. If you have any allergies, you need to steer clear of any traces of foods you are allergic to, and speak with your doctor or pharmacist about emergency medication, if necessary. What I'm talking about, is a sensitivity, meaning you do not tolerate a specific food very well and it causes immediate or chronic symptoms anywhere in the body. Symptoms can take hours or even days to show themselves. And symptoms can be located just about anywhere in the body. This is still an immune response that can increase inflammation (hence the aches and pains), but different than an allergy. This is what makes them so tricky to identify. Symptoms of Food Intolerances There are some common food intolerances and immune reactions that have immediate and terribly painful gastrointestinal symptoms, such as lactose intolerance or celiac disease. These can cause stomach pain, gas, bloating, and/or diarrhea; symptoms can start immediately after eating lactose or gluten. On the other hand, other more insidious symptoms may not be linked to foods in an obvious way. Symptoms like: ● Chronic muscle or joint pain ● Sweating, or increased heart rate or blood pressure ● Headaches or migraines ● Exhaustion after a good night's sleep ● Autoimmune conditions like Hashimoto's or rheumatoid arthritis ● Rashes or eczema ● Inability to concentrate or feeling like your brain is "foggy" ● Shortness of breath If your body has trouble digesting specific foods, it can affect your hormones, metabolism, or even cause inflammation and result in any of the symptoms listed above. 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You might be surprised what links you can find if you track your food and symptoms well! IMPORTANT NOTE: When you eliminate something, you need to make sure it's not hiding in other foods, or the whole point of eliminating it for a few weeks is lost. Restaurant food, packaged foods, and sauces or dressings are notorious for adding ingredients that you'd never think are there. You know that sugar hides in almost everything, but did you also know that wheat is often added to processed meats and soy sauce, and lactose can even be found in some medications or supplements? When in doubt you HAVE to ask the server in a restaurant about hidden ingredients, read labels, and consider cooking from scratch. What if it doesn’t work? If eliminating these two common food intolerances doesn’t work, then you can go one step further to eliminate soy and corn for three weeks. They are the next most common culprits. You may need to see a qualified healthcare practitioner for help, and that's OK. 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