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Why is my stomach getting bigger after menopause?

The changes in the body occurring during menopause can result in an increase in the size of the abdomen, or what is typically referred to as belly fat. The primary reason for this change is the decrease in estrogen levels, which causes the body to undergo a shift in its fat distribution, resulting in the accumulation of fat around the abdominal region.

As estrogen decreases, the body redistributes fat from the hips and thighs to the abdominal region. This new fat accumulation in the abdomen, particularly visceral fat, or the fat that surrounds organs, can lead to an increase in the waistline. Visceral fat is particularly harmful as it is linked with an increased risk for heart disease, type 2 diabetes, and other chronic health conditions.

Additionally, during menopause, there is a decrease in muscle mass, which can also contribute to an increase in belly fat. Muscle mass is important for maintaining a healthy metabolism as it helps burn calories even when the body is at rest. With a decrease in muscle mass, the body’s metabolism slows down, and fewer calories are burned, which can contribute to an increase in belly fat.

Lifestyle factors also play a role in the development of belly fat during menopause. As women age, they tend to become less active, which contributes to weight gain. Poor eating habits, such as consuming a diet high in saturated and trans fats, and eating more calories than needed, can also lead to belly fat.

To combat the increase in belly fat during menopause, it is important to adopt a healthy lifestyle. This includes engaging in regular physical activity, consuming a healthy and balanced diet, and managing stress. Resistance training, or weight-bearing exercises that work the muscles, can help build muscle mass and increase metabolism.

Additionally, reducing calorie intake and avoiding sugary drinks and processed foods can help prevent weight gain.

The increase in belly fat during menopause is primarily due to the decrease in estrogen levels and a decrease in muscle mass. Lifestyle factors such as poor eating habits and lack of physical activity can also contribute to an increase in belly fat. Adopting a healthy lifestyle that includes physical activity and healthy eating habits can help prevent belly fat during menopause and reduce the risk of chronic health conditions.

How do you get rid of menopausal belly fat?

Menopausal belly fat is a common problem that affects many women during and after menopause. It can be challenging to lose this type of fat, but there are ways to reduce it with a combination of diet, exercise, and lifestyle changes.

One of the main causes of menopausal belly fat is the hormonal changes that occur during menopause. These changes can lead to a decrease in the production of estrogen, which can cause an increase in abdominal fat. To combat this, it is important to focus on a healthy diet that is low in fat and high in protein and fiber.

Eating a balanced diet with nutritious foods that are low in calories, such as fruits, vegetables, whole grains, and lean proteins, can help to reduce belly fat.

In addition to a healthy diet, exercise is also important for reducing menopausal belly fat. Cardiovascular exercises such as running, cycling, and swimming can help to burn calories and reduce overall body fat, including belly fat. Strength training exercises, such as lifting weights or doing bodyweight exercises, can also help to tone and strengthen the abdominal muscles.

Other lifestyle changes that can help to reduce menopausal belly fat include getting enough sleep, managing stress, and avoiding unhealthy habits such as smoking and excessive alcohol consumption. Getting enough sleep is important for regulating hormones and managing stress, both of which can contribute to belly fat.

Managing stress through activities like yoga or meditation can also help to reduce stress hormones that can cause belly fat.

There are several ways to reduce menopausal belly fat through dietary changes, exercise, and lifestyle modifications. It may take time and effort to see results, but with persistence and dedication, it is possible to shed the excess belly fat and improve overall health and wellbeing.

Will my menopause belly go away?

Menopause is a natural phase in a woman’s life that marks the permanent cessation of menstruation. During this time, many women experience significant changes in their body composition, including the accumulation of fat around the midsection, commonly referred to as “menopause belly.”

While it can be frustrating to deal with a menopause belly, it is important to understand that weight gain or redistribution of fat during menopause is normal and can be attributed to hormonal changes, a slower metabolism, and decreasing muscle mass. However, it is possible to manage the belly fat during menopause.

Diet and exercise play a significant role in reducing belly fat. A balanced diet consisting of whole grains, fruits, vegetables, and lean protein sources like fish, chicken, or beans, can help reduce the amount of visceral fat (fat surrounding abdominal organs) in the body. Avoiding sugary or processed foods can also help decrease the amount of belly fat.

Exercise is also crucial in reducing menopause belly. Cardiovascular exercise like brisk walking, swimming or cycling helps burn calories and increase the metabolism. Resistance exercise such as lifting light weights or practicing yoga or Pilates can help increase muscle mass, improving the body’s ability to burn calories.

Managing menopause belly requires a combination of healthy eating habits and regular exercise. While it may take time, a consistent and disciplined approach can yield positive results over time. However, it is important to note that a certain amount of belly fat is natural and healthy for women in their menopause phase, and it may not entirely disappear.

What foods to avoid for menopause belly fat?

Menopausal belly fat can be stubborn and difficult to get rid of. While there may not be specific foods to completely avoid, there are some dietary changes that can help to prevent or reduce belly fat.

Firstly, it is important to focus on a balanced diet that includes a variety of foods from all food groups. However, if you are looking to reduce belly fat, you should limit your intake of processed foods, sugary snacks, and high-fat foods. These foods are often high in calories and can contribute to weight gain, which can lead to the accumulation of fat around the belly area.

Additionally, it may be helpful to reduce your intake of simple carbohydrates, such as white bread, rice, and pasta. These foods break down quickly and can spike blood sugar levels, leading to increased insulin production and fat storage.

Replacing these foods with complex carbohydrates, such as whole-grain bread, brown rice, and quinoa, can help to keep blood sugar levels stable, which can reduce insulin production and promote fat burning.

Furthermore, it is important to increase your intake of lean protein, such as chicken, turkey, fish, and tofu. Protein can help to keep you feeling full and satisfied, which can reduce cravings and prevent overeating.

Finally, incorporating regular exercise into your routine can also be beneficial for reducing belly fat. Cardiovascular exercise, such as running, cycling, or swimming, can help to burn calories and promote weight loss. Strength training exercises, such as weight lifting, can also be helpful for building lean muscle mass and boosting metabolism.

A healthy diet and regular exercise are key for preventing and reducing menopausal belly fat. While there may not be specific foods to completely avoid, making small dietary changes, such as reducing your intake of processed foods and simple carbohydrates, and increasing your intake of lean protein and complex carbohydrates, can help to promote weight loss and improve overall health.

Does menopause belly fat go away after menopause?

The answer to whether menopause belly fat goes away after menopause is not a straightforward one. Menopause marks one of the most significant transitions in a woman’s life, and that includes changes in the body. During menopause, the ovaries stop producing estrogen and progesterone, resulting in a range of physical symptoms, including hot flashes, night sweats, mood swings, and, for many women, weight gain, especially around the belly region.

The type of weight gain that is common during menopause is known as visceral fat. It is deep fat that surrounds the internal organs and is a significant contributor to health problems such as type 2 diabetes, heart disease, and some cancers.

After menopause, the body’s hormonal balance changes, and it becomes more difficult to lose weight. However, with proper diet, exercise, and self-care, reducing belly fat is possible. It’s essential to note that losing weight is a gradual process, and it may take longer to see results, but with dedication and commitment, it can be achieved.

A healthy lifestyle, including a balanced diet with an emphasis on vegetables, fruits, lean protein, and whole grains, is crucial to weight loss. It’s also important to limit processed and fried foods, which contribute to the build-up of visceral fat. Staying active through regular exercise helps to burn calories and keeps the metabolism working efficiently.

Women who experience menopause may also benefit from hormone therapy. Hormone therapy replaces estrogen and progesterone to help manage the symptoms of menopause, including weight gain. However, hormone therapy is not recommended for everyone and should be discussed with a healthcare provider.

While it may be difficult to lose belly fat after menopause, it is certainly achievable through a healthy diet, regular exercise, and self-care. Patience, commitment, and dedication are essential ingredients for success when trying to lose weight during and after menopause. It’s crucial to speak to a medical professional before starting any new diet or exercise plan to ensure it is safe and effective.

How can I hide my belly during menopause?

Menopause is a period of great change for women, and one of the most common issues that women face during menopause is the increased abdominal fat that can lead to a protruding belly. This is caused by hormonal changes that occur during this phase in life, which can cause a decrease in metabolism, changes in fat storage, and a decrease in muscle mass.

All of these factors can contribute to weight gain and an increased belly, but there are a number of strategies women can use to hide their belly during menopause.

One simple solution is to wear clothing that is loose-fitting or has a higher waistline. Loose, flowing tops and tunics can help to conceal your belly, while pants and skirts with a higher waistline can provide more coverage and slimming effects. Avoid tight clothing that hugs your midsection, as this will only accentuate your belly.

Another effective strategy is to choose fabrics that drape instead of cling. Avoid shiny or stretchy fabrics, which can emphasize any lumps or bumps, and instead opt for fabrics like cotton, silk, or rayon that have a more flowing quality. Add layers to your outfit, such as jackets or cardigans, to break up your silhouette and create a more streamlined appearance.

Accessories can also be helpful in drawing attention away from your belly. A statement necklace or pair of earrings can draw attention to your face, while a scarf or long necklace can break up your torso and create a more flattering appearance.

Finally, regular exercise and a healthy diet are essential for managing weight gain during menopause. Strength training exercises can help build muscle mass, which can increase metabolism and reduce abdominal fat. Aim to eat a well-balanced diet that includes plenty of fruits, vegetables, lean proteins, and healthy fats.

Hiding your belly during menopause requires a combination of clothing choices, fabric choices, accessory selection, regular exercise, and a healthy diet. With these strategies, you can confidently navigate this phase in your life and feel comfortable and confident in your appearance.

Does menopause make your stomach swell?

Menopause, the permanent cessation of a woman’s menstruation, is caused by a decrease in the production of estrogen and progesterone hormones, brought on by the aging process. The hormonal changes that occur during menopause can affect different parts of a woman’s body, including her stomach.

One common symptom of menopause is bloating, which can make the stomach swell. During menopause, a decrease in estrogen can lead to water retention, which can cause the stomach to feel bloated and full. In addition, the reduction in estrogen can cause a decrease in muscle mass and increase in body fat, particularly around the midsection.

The hormonal changes can also affect the digestive system, leading to changes in bowel movements and digestion. Some women may experience constipation or diarrhea, which can contribute to stomach bloating. Additionally, changes in the pH levels in the vagina can lead to an overgrowth of bacteria, which can cause bloating and discomfort.

While stomach bloating can be a common symptom of menopause, there are ways to manage it. Maintaining a healthy diet, staying hydrated, and getting regular exercise can help combat bloating. Avoiding foods that are high in salt, sugar, and processed fats can also help reduce bloating. Additionally, taking probiotics, which can help regulate gut bacteria, may help improve digestive health and reduce bloating.

Menopause can cause stomach bloating due to a variety of factors, including hormonal changes, water retention, and changes in digestion. However, with proper diet and exercise, women can manage this symptom and reduce discomfort during this life transition.

How long does menopause bloating last?

Menopause bloating can be a common and uncomfortable symptom during the menopause transition, with many women experiencing bloating at varying degrees of intensity. Bloating occurs due to hormonal fluctuations, specific lifestyle changes, and individual body differences, and can be a nuisance for many women who experience it.

The duration of menopause bloating can largely depend on an individual’s health and wellbeing, and the underlying cause of the bloating itself. Typically, menopause bloating lasts for a few days to a few weeks, but it can extend for as long as several months or even years. The duration can also vary from woman to woman and can be paired with many other menopause symptoms.

There are also several factors that can determine how long menopause bloating can last, including the frequency and severity of the bloating, dietary factors, levels of physical activity, hormonal imbalances, and overall health status. For instance, women who regularly consume excess salt, processed foods, sugar, or caffeine are likely to experience bloating more frequently and with greater severity.

As a result, a change in dietary habits and lifestyle could help reduce the severity and duration of bloating.

Moreover, stress and anxiety can also worsen the symptoms of menopause, including bloating. Consistent relaxation methods like yoga, meditation or other stress-reducing methods, can help to alleviate the severity of bloating, along with other menopause symptoms, which may positively influence the duration of bloating.

Menopause bloating can last for a few days to several months or even years due to several biological, dietary, and lifestyle factors. A woman’s overall health and wellbeing, as well as the underlying cause of bloating, can determine the length and severity of menopause bloating. A combination of healthy lifestyle adjustments, stress management practices, and possibly medication prescribed by your doctor can make the symptom more manageable while the body goes through this natural transition.

If you’re experiencing symptoms that disrupt your daily life for an extended period of time, it is recommended to see a doctor to ensure there are no other underlying medical conditions.

Does your stomach change shape during menopause?

Yes, menopause is a significant period of change for a woman’s body, and it can impact various parts of the body, including the stomach. The primary cause of stomach changes during menopause is the hormonal changes that occur in the body. Estrogen, the primary female hormone, decreases during menopause, which can lead to a redistribution of body fat, particularly around the abdomen.

As estrogen levels decline, the body tends to deposit more fat around the midsection area, and this belly fat can be harder to lose than other types of fat. This abdominal weight gain can be frustrating for some women and can make them feel self-conscious about their appearance.

Other factors that can affect stomach changes during menopause include lifestyle and genetics. For example, a sedentary lifestyle or a diet high in fried or processed foods can exacerbate the accumulation of belly fat. Additionally, genetics can also play a role in where a woman stores fat in her body.

To manage stomach changes during menopause, women can adopt healthy lifestyle choices like regular exercise, eating a balanced diet, and getting enough sleep. They can also speak with their healthcare provider about hormone replacement therapy or other symptom management strategies.

Menopause can cause changes in a woman’s body, including the stomach. However, with a healthy lifestyle and medical treatment if needed, women can manage these changes and maintain a healthy and confident body image.

What is the thing to take for menopause bloating?

Menopause is a natural biological process that occurs in women, typically between the ages of 45 and 55. During this phase, the body undergoes significant hormonal changes, leading to various symptoms, including hot flashes, night sweats, mood swings, fatigue, and bloating. Menopause bloating is generally caused by hormonal fluctuations that affect digestion, leading to gas retention, fluid accumulation, and abdominal discomfort.

To alleviate menopause bloating, there are several remedies that women can consider, such as dietary modifications, natural remedies, and medical treatments. Firstly, women can make dietary changes by avoiding gas-producing foods such as beans, cabbage, onions, and carbonated drinks. Instead, they can consume foods rich in fiber such as fruits, vegetables, and whole grains to improve digestion and bowel movement.

Additionally, women can try natural remedies such as herbal teas, probiotics, and digestive enzymes that aid in digestion and reduce inflammation in the gut. Herbal teas such as peppermint, ginger, and chamomile are known to alleviate bloating and improve digestion. Probiotics, on the other hand, are beneficial bacteria that live in the gut and help to maintain a healthy balance in the digestive system.

Digestive enzymes break down food and relieve gas and abdominal discomfort.

In some cases, women may need medical treatment for severe menopause bloating. Hormone replacement therapy (HRT) is one such option that involves replacing the declining levels of estrogen and progesterone in the body with artificial hormones. This can help to regulate hormonal imbalances and reduce bloating, among other symptoms.

Menopause bloating is a common symptom that women experience during menopause due to hormonal changes affecting digestion. Women can alleviate this symptom through various remedies, including dietary modifications, natural remedies, and medical treatment. By implementing these remedies, women can enjoy better health and quality of life during menopause.

What are the 5 foods that burn belly fat?

When it comes to losing belly fat, it’s important to understand that there is no single magic food that can instantly help reduce fat in that area. However, incorporating certain foods into your diet can certainly aid in the process. Here are five foods that can potentially help burn belly fat:

1. Leafy Greens: Vegetables like spinach, kale, and broccoli are high in fiber and low in calories, making them an excellent choice for those trying to lose weight. The fiber helps keep you feeling full and satisfied, while the low-calorie content helps you eat fewer calories overall. Additionally, these greens are rich in vitamins and minerals that are essential for overall health.

2. Berries: Berries like blueberries, raspberries, and blackberries are rich in antioxidants that can help reduce inflammation in the body. Inflammation has been linked to obesity and belly fat, so reducing it through the consumption of berries can potentially help with weight loss.

3. Nuts & Seeds: Nuts and seeds like almonds, walnuts, chia seeds, and flaxseeds are high in healthy fats, protein, and fiber. Consuming these foods can help keep you feeling full and satisfied, reducing the likelihood of overeating. Additionally, research has shown that consuming nuts regularly can potentially help reduce belly fat.

4. Lean Proteins: Foods like chicken, fish, and tofu are rich in protein, which is essential for building and maintaining lean muscle mass. Muscle burns more calories than fat, so having more muscle can help increase your metabolism and aid in burning belly fat.

5. Whole Grains: Consuming whole grains like brown rice, quinoa, and whole-grain bread can help keep you feeling full and satisfied for longer periods of time. Additionally, consuming whole grains has been linked to lower levels of visceral fat, which is the fat that accumulates around the organs in the belly region.

While there is no single food that can instantly burn belly fat, incorporating these five foods regularly into your diet can potentially aid in the process. Additionally, it’s important to remember that a balanced diet and regular exercise are also essential for achieving and maintaining a healthy weight.

What foods help you lose weight during menopause?

Menopause is a natural biological process and a significant phase in a woman’s life. During menopause, the hormonal changes in a woman’s body cause several changes, including weight gain. Menopausal weight gain typically distributes around the midsection, leading to various health problems such as increased risk of cardiovascular diseases, high cholesterol, and diabetes.

One way to counteract this weight gain is to consume foods that aid weight loss during menopause. Listed below are some of the foods that can help women lose weight during menopause:

1. High-fiber foods: Consuming high-fiber foods is an effective weight loss strategy as they help in reducing calorie intake and provide a feeling of fullness. Foods that are high in fiber include whole grains, fruits, vegetables, and legumes. Examples of such foods can be oats, apples, peas, beans, and lentils.

These foods are nutritionally dense and low in calories, making them ideal for weight loss. A high-fiber diet also helps regulate bowel movements, reduces the risk of constipation and bloating, which are common during menopause.

2. Lean protein: Lean protein sources include poultry, fish, tofu, and legumes. These foods are not only high in protein but are also low in fat, making them an excellent choice for menopause diets. Protein takes longer to digest and keeps you feeling full for longer. Incorporating these foods into your diet can also help in the building and retention of muscle mass, which decreases with age.

3. Calcium-rich foods: As women age, there is a decrease in bone density, which increases the risk of osteoporosis. Consuming foods that are high in calcium, such as low-fat yogurt, cheese, and leafy greens, can help maintain healthy bones. Additionally, calcium-rich foods also aid weight loss as they regulate the fat metabolism process.

4. Berries: Berries such as blueberries, raspberries, strawberries, and blackberries are low in calories and high in antioxidants. These berries aid weight loss as they improve insulin sensitivity and glucose metabolism in the body. Additionally, the high fiber content in berries helps keep you feeling full and satisfied for longer periods.

5. Healthy fats: Consuming healthy fats such as nuts, seeds, avocados, and fatty fish can help in weight loss as well. These foods are a great source of monounsaturated and polyunsaturated fats, which are necessary for maintaining healthy skin, reducing inflammation, and aiding weight loss by increasing the feeling of fullness.

Consuming a diet that is high in fiber, lean protein, calcium, berries, and healthy fats can help women lose weight during menopause. Combining a healthy diet with regular exercise, stress management, and adequate sleep can help manage weight gain during menopause and promote overall health and well-being.

It is always advisable to consult a healthcare professional before making any significant dietary changes.

Why have I suddenly gained weight in my stomach?

There can be various reasons as to why an individual may suddenly gain weight in their stomach. Some of the common reasons could be:

1. Sedentary lifestyle: If you have been leading a sedentary lifestyle or have been spending most of your time sitting, it can lead to weight gain around the midsection. Lack of physical activity can slow down your metabolism and lead to an accumulation of fat around the waistline.

2. Unhealthy diet: Consuming a diet high in processed foods, sugar, and unhealthy fats can cause an increase in visceral fat around the abdomen. Fast food, soda, and sugary drinks are some of the common culprits that can lead to weight gain in the stomach.

3. Hormonal changes: Hormonal changes can also lead to weight gain around the stomach. Women, in particular, may experience an increase in belly fat during menopause due to hormonal changes that take place in the body during this time.

4. Stress: Chronic stress and cortisol production can also be a contributing factor towards belly fat. When you experience stress, your body produces cortisol, which can increase fat storage in the abdominal region.

5. Medical conditions: Some underlying medical conditions like polycystic ovary syndrome (PCOS), thyroid disorders, and insulin resistance can also cause sudden weight gain around the stomach.

In order to address sudden weight gain around the stomach, it is essential to identify the root cause. Some ways to address this issue would include incorporating regular exercise into your routine, following a healthy and nutritious diet, reducing stress levels, and seeking medical attention if you suspect an underlying medical condition.

It is important to remember that weight gain can have several factors, and a holistic approach is necessary to manage it effectively.

Why is my stomach suddenly big?

There can be several reasons why your stomach suddenly appears big. Some of the most common reasons include a poor diet, lack of exercise, gas build-up, constipation, stress, bloating, and weight gain. Let’s discuss each of these in more detail.

Poor Diet: If you consume too many high-fat, high-sugar, or processed foods, this can lead to an increase in belly fat. Such foods tend to be high in calories, and when not burned off, they can accumulate in your midsection, leading to an enlarged stomach. It’s important to maintain a balanced diet and watch what you eat to reduce the likelihood of gaining weight.

Lack of Exercise: Individuals who maintain an inactive lifestyle can succumb to a belly fat problem. An inactive lifestyle can slow down your metabolism, resulting in your body burning fewer calories, thus leading to fat accumulation in the midsection.

Gas Build-Up: Too much gas buildup in your large intestine and small intestine can create noticeable changes in your appearance, causing your stomach to appear larger than normal. Constipation, swallowed air, or a gastrointestinal problem can lead to gas buildup.

Constipation: A buildup of fecal matter in the colon can lead to discomfort, discomfort, and an increase in the size of your belly. It’s essential to maintain a healthy digestive system and ensure you stay hydrated to prevent constipation.

Stress: When you get stressed, your body releases a hormone named cortisol, which leads to weight gain, especially in the stomach area. Excessive stress can lead to an enlarged stomach due to cortisol production, which causes abdominal fat accumulation.

Bloating: Fluid retention in your bowels or belly or even consuming too much salt can lead to bloating, which can make your stomach appear enlarged. Another cause of bloating can be an imbalance of good and bad gut bacteria in your gut, which may cause digestive issues, making your belly appear bigger.

Weight Gain: Weight gain is the most common reason why the stomach appears bigger. Eating more calories than you are burning is a common cause. Also, hormonal changes, thyroid issues, and even lack of sleep can all lead to weight gain.

If you’re suddenly experiencing a larger stomach, it’s essential to determine the underlying cause to address any potential health issues. Maintaining a healthy diet, exercising regularly, managing stress, monitoring gut health and digestion, and ensuring proper hydration can all help address the issue, leading to a flatter midsection.

What causes rapid weight gain in females?

Rapid weight gain in females can be caused by a number of factors, including hormonal imbalances, poor diet and nutrition, lack of exercise, genetics, medications, medical conditions, and emotional factors such as stress and depression.

Hormonal imbalances, particularly those related to the thyroid gland, can cause quick and unexplained weight gain in females. This is because the thyroid gland regulates the metabolism, which can become slow or overactive when the gland is functioning abnormally, leading to weight changes.

Poor diet and nutrition can also contribute to rapid weight gain in females. Consuming too many calories, particularly those that are high in fat and sugar, can lead to weight gain over time. Additionally, a lack of nutrients in the diet can cause the body to retain excess water and fat, leading to weight gain.

Lack of exercise is another major factor in rapid weight gain in females. Without regular physical activity, the body is unable to burn the calories it consumes, leading to weight gain over time.

Genetics can also play a role in rapid weight gain in females. Certain genes can make it easier for some individuals to store fat, while others may have a predisposition to certain medical conditions that can cause weight gain.

Medications, particularly those used to treat certain medical conditions such as depression, can also contribute to rapid weight gain in females. This is because some medications can alter the body’s metabolism or cause an increase in appetite.

There are also a number of medical conditions that can contribute to rapid weight gain in females, such as polycystic ovary syndrome (PCOS), Cushing’s syndrome, and hypothyroidism.

Finally, emotional factors such as stress and depression can also contribute to rapid weight gain in females. These conditions can alter the body’s hormonal balance, leading to changes in appetite and metabolism that can result in weight gain over time.

In order to address rapid weight gain in females, it is important to identify the underlying cause and take steps to address it. This may involve changes to diet and exercise habits, medical treatments, or seeking support for emotional factors that may be contributing to the issue.

Resources

  1. Menopause Belly: Causes, Solutions, and Prevention Tips
  2. 12 Ways to Beat Menopausal Belly Fat – Everyday Health
  3. What Causes an Increase in Abdominal Fat After …
  4. Menopause Belly: Causes, Treatment, and Prevention
  5. New Research: Your belly-fat in post-menopause … and why …