Menopausal belly fat is real. 5 diet changes a dietitian made to combat it

It started with a popped pants button. I was presenting at a conference and right before I hit the stage, it went — shooting at a high rate of speed and landing in front of my shoe. My favorite black pants that fit like a glove in my 30s and early 40s would no longer conform to a changing midsection. The button-popping incident (along with hot flashes and sleep disturbances) was a sign of something I had detected and denied for some time — I was in perimenopause.

Perimenopause is a period where the body begins the transition to menopause. According to the Cleveland Clinic, the process can take years and is associated with a loss of estrogen and may include accompanying symptoms such as hot flashes, increased belly fat, mood swings, vaginal dryness and disrupted sleep. Menstrual cycles are often irregular; once you go 12 months without one, you are officially in menopause.

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