The effects of hormone replacement therapy (HRT) on weight can vary greatly from person to person. There are many factors that influence whether someone will gain, lose, or maintain their weight when starting HRT.
Some key points:
- HRT causes physical changes to fat distribution and metabolism which can lead to weight fluctuations. These changes depend on the specific hormones used.
- Many report gaining a modest amount of weight in the first 3-6 months after starting HRT, especially with estrogen therapy. This may level off after the body adjusts.
- Testosterone therapy is more associated with weight loss and increased muscle mass. However, weight gain is still possible if appetite increases lead to overeating.
- Lifestyle, diet, exercise and genetics all affect weight changes too. Making healthy adjustments can help manage weight.
Estrogen Effects
- Causes fat to redistribute to the buttocks, hips and thighs, making these areas appear fuller.
- Can slightly slow metabolism. However, evidence on metabolic changes is mixed overall.
- Increases subcutaneous fat storage under skin.This leads to a softer, smoother body contour.
- Increases appetite and calorie intake in many individuals in the first 3-6 months. This often stabilizes later on HRT.
- May cause water retention and bloating temporarily.
If estrogen therapy leads to overeating from increased appetite, weight gain is very likely. To counteract this, focus on eating a nutritious diet with proper portion sizes. Get regular exercise too.
Any initial water weight gain or bloating should subside.
Testosterone Effects
- Boosts muscle mass and decreases fat mass, especially in the abdomen and waist.
- Speeds up metabolism and increases calorie burning. This can make weight loss easier.
- Curbs appetite and decreases calorie intake in many people. This also supports weight loss.
- Initial water loss from tissues may occur, leading to rapid but temporary weight loss.
Testosterone therapy combined with strength training and a protein-rich diet can lead to significant fat loss and lean muscle gains. However, some may overeat because appetite is not suppressed, hindering potential weight loss.
Other Hormones
- Progesterone has little effect on weight but may act similarly to estrogen for fat storage.
- Anti-androgens like spironolactone can cause fluid retention and salt imbalance, leading to bloating and puffiness. This subsides over time.
In summary, HRT affects individuals differently. Weight changes vary based on the therapy type and dosage, lifestyle factors, genetics, and more. Working closely with a medical provider can help develop realistic expectations.
Making nutrition and exercise adjustments proactively will produce the best outcomes.
If considering HRT, we strongly recommend consulting with a caring, experienced physician first.
Vitality Hormone Clinic has served the LGBTQ community's healthcare needs for over 10 years.
Our doctors take a personalized approach to HRT and provide ongoing support. Contact us today for a consultation!