Hormones in Metabolism: Why Fatigue Hits Harder in Menopause and What to Do About It

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Are you eating well, going to the gym, and doing everything you’ve been told, yet still feeling tired, gaining weight, so now wondering if your metabolism has slowed down?

Hormone imbalance is a key reason many women experience these symptoms after 50, affecting metabolism, energy, and overall well-being.

You may be surprised to learn that your metabolic hormones are influenced by more than just diet and exercise. It’s also affected by factors such as stress, sleep, and sex hormones. 

Many people assume that their metabolism is solely determined by the number of calories they consume and burn through physical activity.

While this does play a significant role, several other important influences can impact how efficiently your body burns energy.

One of the most overlooked factors in metabolism is stress. When we’re under chronic stress, our bodies release cortisol – the primary stress hormone. This hormone not only increases appetite and cravings for unhealthy foods but also signals our body to store fat rather than burn it.

Do you wake up wired at 3 a.m., even after an early night… or find that no matter how “healthy” you eat, your stomach is bloated and your waistline is expanding?

You’re not alone, and you are not at fault! Well, not indirectly – Let me explain…

Many women over 50 experience these frustrating changes and are told by doctors or HRT professionals that – it’s your hormones! OK, but why and which ones?  

The true root cause often lies deeper, yes, it involves your hormones, but not just the ones you might expect. It’s not simply about a hormonal deficiency due to menopause, but also how these imbalances are impacting your metabolism.

Weight gain, fatigue, and sleep disturbances are common symptoms associated with hormonal imbalances, particularly during midlife. Key hormones like insulin, cortisol, and thyroid hormones play a pivotal role in these changes, which are further intensified by the natural decline in oestrogen levels.

During midlife, particularly in peri-menopause, many women begin to develop insulin resistance, a metabolic shift closely linked to changing hormone levels, especially when there is estrogen dominance.

Estrogen normally enhances insulin sensitivity, while progesterone helps regulate the nervous system and maintain blood sugar balance. But as both hormones fluctate, their support for metabolic function weakens. This makes it harder for insulin to regulate glucose effectively, leading to more sugar being stored as fat rather than used for energy, especially around the abdomen. Over time, this hormonal imbalance contributes to weight gain, fatigue, and increased cravings, even if your diet hasn’t changed.

At the same time, cortisol, your body’s stress hormone, often rises due to sleep disturbances, emotional stress, or chronic inflammation.

Without the buffering effects of balanced estrogen and progesterone, cortisol becomes more complicated to manage, exacerbating weight gain, anxiety, and fatigue.

Lastly, thyroid hormones, which act as the metabolic thermostat, are often disrupted during this stage, further slowing down metabolism and making weight loss feel impossible.

This interconnected hormone shift is one of the main reasons many women find their symptoms intensify after 50, even if their lifestyle hasn’t changed.

But there’s good news you can take control of these hormonal imbalances through lifestyle changes such as nutrition, exercise and wellbeing.

Employing a metabolic diet plan approach with plenty of protein, starch, and green leafy vegetables with healthy fats can help regulate insulin levels and promote weight loss. Exercise also plays a crucial role in managing cortisol levels and boosting metabolism.

Through my work as Ms Longevity, I see this every day with my private clients. Despite following conventional advice to increase protein, drink less wine, move more, and take HRT, they’re left confused, discouraged, and disconnected from their bodies.

Before making changes to your lifestyle or seeking a quick fix for hormonal imbalance, please take time to understand your current metabolic health.

Knowledge empowers you with choices, enabling you to make informed decisions and take the right steps toward improving your health, well-being, and longevity.

Understanding the factors that influence a longer, healthier life allows you to create habits and adopt strategies that support your goals.

This article unpacks how key hormones like insulin, thyroid, cortisol, estrogen and leptin change for women in midlife and how those changes affect your energy, weight, mood, and sleep.

As hormones naturally shift during this stage of life, you may notice changes in your hair, skin, and mood, which are all signs of imbalances in your metabolic health.

By focusing on understanding your body rather than simply following a diet, buying another supplement or hair product, you’ll learn to work with your body instead of against it. This approach not only helps you reset your metabolic health but also supports long-term longevity and is sustainable.

You’ll also gain clarity around why symptoms like brain fog, stubborn weight, or restless sleep are not “just part of ageing” and why they’re often reversible with a functional approach.

Ms Longevity is here to help you reconnect with your body, learn what works for you, and rebuild confidence through daily rituals and expert guidance and support.

What Is Metabolism and What Do Hormones Have to Do With It?

Metabolism is the system that turns food into energy. The digestive system breaks down food into sugars, which are then managed by hormones like insulin. It governs everything from how you feel when you wake up to how your body repairs itself after exercise. But metabolism isn’t just about calories, it’s about communication. And that communication is driven by hormones.

Hormones are chemical messengers that tell your body what to do via receptors on your cells. Together, they regulate vital biochemical processes essential for metabolism, such as energy production and nutrient utilisation.

Hormones also play a crucial role in overall body function, impacting everything from energy levels to physiological balance. They influence how much fat you store, how quickly you burn energy, how hungry you feel, how well you sleep, and how stable your mood is.

When these messengers become resistant to the charms of the receptors, things become imbalanced especially after menopause, your metabolism slows, symptoms creep in, and you can start to feel like a stranger in your own body.

Risk Factors for Metabolic Issues After 50

As we move past 50 and into our 60s, our bodies naturally undergo changes that can increase the risk of developing metabolic issues. One of the most significant concerns is metabolic syndrome, a cluster of conditions that includes high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

These factors don’t just appear overnight; they often develop gradually due to a combination of genetics, lifestyle, and age-related changes in metabolism.

Insulin resistance is a key player here. When your cells become less responsive to insulin, your body struggles to keep blood sugar in check, leading to higher levels of both blood sugar and insulin. This can result in more fat being stored, especially around the midsection, and sets the stage for type 2 diabetes and heart disease. If you have a family history of diabetes or heart disease, your risk is even higher.

Other risk factors include a diet high in unsaturated fat and low in fibre, physical inactivity, and chronic stress. Even if you’ve maintained a healthy weight most of your life, hormonal changes after 50 can make it easier to gain fat and harder to lose it.

The good news? Adopting a healthy lifestyle, regular exercise, a balanced diet rich in proteins, nutrients, effective stress management, and emotional wellbeing can help prevent metabolic syndrome and reduce your risk of serious health problems.

Making minor, consistent tweaks to your food choices and daily routine can make a big difference in your metabolic health and overall well-being.

Key Hormones That Influence Metabolism After 50

Understanding which hormones are responsible for your metabolism helps take the pressure off yourself and puts you in the driver’s seat for healing. After age 50, hormonal changes impact not only major organs but also other tissues throughout the body, influencing overall health and metabolic processes.

These changes are especially relevant for postmenopausal women, who experience shifts in estrogen and progesterone levels that affect multiple systems. Hormonal changes after 50 can also affect how organs like the liver respond to insulin, impacting glucose uptake and storage.

Let’s explore each metabolic hormone in detail to help you better understand how to support and maintain metabolic balance.

1. Insulin: The Blood Sugar Manager

Insulin helps shuttle glucose from your blood into your cells. But as we age, our cells can become resistant to the volume of insulin, which can prevent the blood from being delivered into the cell, leading to blood sugar highs and crashes.

This is called insulin resistance and is a major driver of belly fat, fatigue, and cravings. This creates a cycle of fat storage and low energy, as having too much fat, especially around the abdomen, increases the risk of insulin resistance and related health issues such as heart disease and diabetes.

Ms Longevity Tip: Focus on meals that combine protein, fibre, and healthy fats to stabilise insulin and avoid blood sugar rollercoasters. One daily ritual many of my clients love is starting the day with a protein-rich breakfast smoothie blending Hemp Seeds, Celery, Spinach and Avocado.

This simple change helps stabilise blood sugar and curb cravings throughout the morning.

It embodies the Ms Longevity approach to personalised nutrition crafting meals that nourish your energy levels and support hormonal balance, rather than imposing restrictions. Small adjustments like this can spark significant metabolic improvements.

2. Cortisol: The Stress Responder

Cortisol helps your body respond to stress but when it’s constantly elevated (due to work pressure, poor sleep, or emotional stress), it can disrupt every other hormone in your metabolism.

The constant demand for high levels of cortisol can lead to fat storage, especially around the middle, and leave you wired at night but exhausted during the day.

Ms Longevity Tip: Incorporate daily nervous system resets like deep breathing, slow walks, or journaling. Managing stress supports every other system. For example, a 10-minute evening walk after dinner, taking the dog around the block, can help lower cortisol, improve digestion, and transition your body into rest mode.

This is part of the stress recovery pillar. Adding just one mindfulness or movement ritual per day sends a powerful message to your body that it’s safe so it can start healing.

3. Thyroid Hormones: The Metabolic Thermostat

Your thyroid gland produces hormones (like T3 and T4) that control how fast or slow your metabolism operates. Hypothyroidism, an underactive thyroid, makes everything slow down. Weight gain, cold hands and feet, thinning hair, and woolly thinking are typical. Hyperthyroidism, an overactive thyroid, speeds everything up in a way that can be just as draining. 

If you are consistently tired or out of balance, it’s worth having your thyroid checked. A quick blood test can be useful, and there is assistance out there.

Ms Longevity Tip: If you’re tired despite 8 hours of sleep or struggling with uncontrolled weight gain, ask for a full thyroid panel, not just TSH.

One simple ritual to support thyroid health is beginning the morning with a large glass of warm lemon water and a walk in natural sunlight.

This helps with circadian rhythm and supports thyroid function. This daily rhythm ritual supports both your thyroid and your mitochondria. It’s a foundational step in the metabolic repair process, even before supplements or medication are introduced.

4. Leptin & Ghrelin: The Appetite Regulators

Leptin tells you that you’re full. Ghrelin tells you that you’re hungry. And when they’re working correctly, you’re full and satisfied. But lack of sleep, constant dieting, and inflammation can disrupt these messages so you’re always starving, or you’re never happy. 

Ms Longevity Tip: Prioritise consistent sleep, balanced meals, and meal timing to reset hunger cues naturally.

A powerful ritual is to finish eating by 7 p.m. and fast overnight for 12–13 hours. This gives your body time to digest, restore leptin sensitivity, and reset overnight metabolism.

This ritual sits at the intersection of nutrition and sleep health. It’s a powerful metabolic tool that helps regulate your hunger hormones and restore a natural ebb and flow to your energy.

5. Estrogen & Progesterone: The Female Hormone Duo

Estrogen plays a role in insulin sensitivity, fat storage, and even brain function. Progesterone helps with sleep and nervous system calm. Both decline after menopause, contributing to weight gain, mood swings, insomnia, and slower recovery.

Not only sex hormones, estrogen and progesterone, also influence where you deposit fat, deliver energy, and how well your body breaks down nutrients.

As we age, especially during peri-menopause and early menopause, as the levels of hormones fluctuate, this can cause confusion and imbalances, which can affect the metabolism too.

Note: These shifts in hormones are inevitable, but they don’t have to feel like a setback. With the right support, staying active, nourishing your body, giving yourself space, and seeking expert guidance when needed, you can thrive at every phase of life.

Ms Longevity Tip: Planning your meals to balance your blood sugar goes a long way.

For some women, HRT can be helpful, but it’s not the only solution. A simple breakfast, lunch and dinner routine is enough to activate your metabolism, support muscle maintenance, and balance hormones.

It’s about regulating your metabolism to be resilient and responsive, not about starving yourself and cutting back. 

Metabolic Syndrome: What It Means for Your Health

Metabolic syndrome is more than just a collection of numbers on a blood test it’s a warning sign that your body’s metabolic balance is out of sync.

This condition is defined by the presence of several risk factors: high blood pressure, elevated blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

Together, these factors dramatically increase your risk of cardiovascular disease, type 2 diabetes, and other serious health problems.

At the heart of metabolic syndrome is insulin resistance. When your body’s cells stop responding efficiently to the hormone insulin, the pancreas makes more insulin in an attempt to keep blood glucose under control.

Over time, this can lead to persistently high blood sugar and high blood pressure, putting extra strain on your heart and blood vessels. If left unaddressed, metabolic syndrome can progress to more severe metabolic disorders and other complications.

The path to restoring metabolic balance often involves a functional approach to helping you improve insulin sensitivity and reduce your risk of health complications.

Key elements include making space in your life to enjoy food rather than everything rushed or between two pieces of bread; it does not have to be cottage cheese on a Ryvita either. Improving your diet is about looking at how you achieve the Ideal Meal and what foods to enjoy rather than eliminating everything.

By taking proactive steps to support your body’s metabolism and reduce the risk of metabolic syndrome, you can regain control over your health and lower your risk of developing type 2 diabetes, heart disease, and other metabolic disorders.

Common Midlife Symptoms Caused by Hormonal Imbalance

Hormonal shifts after 50 don’t always show up on standard blood tests. But they speak loudly through how you feel every day:

“I’m gaining weight, even though I eat well” Estrogen and insulin shifts change where and how your body stores fat. Even if your habits haven’t changed, your results might.

“I wake up tired, even after 8 hours of sleep” Cortisol and thyroid disruption can affect your ability to get restful, regenerative sleep, even if you’re in bed all night. Waking up between 2–3 a.m. or rising with a heavy head are classic signs.

“I don’t feel like myself anymore “ Low thyroid function, estrogen dominance, or low serotonin can create foggy thinking, low motivation, and a sense that your spark is missing. It’s not you getting old, it’s metabolic balance you need.

“I’m doing everything right, but nothing’s working” Even basic nutrition advice often fails to consider that women’s bodies after 50 need a different approach. Calorie cutting and HIIT workouts can backfire if your hormones are out of sync, they cause too much stress on the body and therefore trigger the whole blood sugar imbalance.

Causes of Hormonal Imbalance in Midlife

Hormonal imbalances are especially common during midlife, as the endocrine system undergoes significant changes. For women, menopause brings a natural decline in estrogen and progesterone, which can disrupt metabolic health and contribute to issues like insulin resistance, weight gain, and other metabolic disorders. These hormonal shifts often lead to more fat being stored around the abdomen, making it harder to maintain a healthy body weight.

The pituitary gland and growth hormone also play important roles in regulating metabolism and body composition. As we age, growth hormone levels tend to decrease, which can affect how the body builds and maintains muscle and fat tissue. Same as in men, declining testosterone levels can further impact metabolic health, increasing the risk of cardiovascular disease and other health problems.

Other factors, such as poor sleep quality, stubborn fat around the tummy, and any other inflammatory digestive conditions, can further disrupt hormone balance and metabolism. Fortunately, adopting a healthy lifestyle, regular physical activity, a balanced diet, and prioritising quality sleep can help support hormonal balance and metabolic health.

If you’re struggling with symptoms of hormonal imbalance, reach out to Ms Longevity for guidance and support. By taking care of your hormones, you can take control of your metabolic health and lead a healthier longevity.

Why Standard Advice Doesn’t Work

In some cases, medical professionals may provide medical support and prescribe medication as part of a comprehensive approach to managing hormonal imbalance and metabolic health.

But none of these address the why behind the symptoms. And none teaches you how to truly nourish your body in this life stage.

My approach as Ms Longevity helps women understand what their body needs now, not what worked in their 30s, or what pill you can get for the ill.

It’s a deeper, root-cause approach to metabolic health and improving your future longevity.

What You Can Do to Support Hormonal Balance

The good news? Your body can respond quickly when given the right inputs. Here are the first steps we recommend to our private clients:

1. Eat for Your Body, Not a Trend – Forget fads. Prioritise foods in their simplest form, and the quantity that matches your personal needs. Ideal Meals satisfying meals reduce cravings and stabilise hormones. Eating for your body also supports healthy weight loss as part of a sustainable approach.

2. Sleep as a Ritual, Not a Random Event – Deep, restorative sleep is non-negotiable. Create consistent sleep-wake times, avoid screens before bed, and support natural melatonin production with morning sunlight.

3. Choose Gentle Movement Over Exhaustion – Strength training, kettlebells, pilates and walking are more supportive than intense cardio when hormones are shifting. Exercise should energise, not deplete you. Living an active lifestyle with regular movement is key to hormonal balance. Avoid sitting for long periods to support your metabolic health.

4. Reduce Stress Inputs – Your body doesn’t distinguish between emotional stress and the physical stress of inflammation. Reducing sugar, screen time, and overwork gives your nervous system a break.

5. Test, Don’t Guess – If symptoms persist, consider functional testing. A good practitioner will look at thyroid, insulin, cortisol, and sex hormones from a functional approach.

Final Thoughts

If you’re over 50 and feeling flat, foggy, or frustrated, know this: you are not alone, and you are not broken.

Your symptoms are signals. Your metabolism and hormones are not failing you, they’re asking for a new level of care.

As Ms Longevity, I guide women through this transition with empathy, education, and a personalised, functional approach.

Hormones don’t just influence metabolism; they are metabolism. Once you understand their role, you can stop blaming your willpower and start working with your biology.

👇 Your Next Step

Ready to go deeper? Join the Ms Longevity Health Hub, your space for personalised metabolic tools, daily hormone-balancing rituals, and expert guidance tailored to your stage of menopause.

You’ll get guidance, expert tips, and practical tools to understand your body, nourish your metabolism, and feel like yourself again.

🔗 [Join the Health Hub] and explore:

You don’t need to guess. You don’t need to do it alone. Let’s reset your hormones one daily ritual at a time.

Picture of Jen Adams

Jen Adams

A qualified clinical nutritional therapist and an expert in natural aesthetics, dedicated to empowering women as they navigate midlife transitions, particularly menopause, enabling them to thrive with vitality, confidence, and radiant skin.

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