Should You Intermittent Fast During Menopause? A Hormone Expert Explains
Intermittent fasting is one of the most popular ways to lose weight and improve overall health right now. It involves skipping food for the majority of the day and eating all your meals in a shortened time frame. Beyond weight loss, it comes with a variety of benefits ranging from healthy aging to increased mental clarity.
Intermittent fasting is great for a lot of people—but what if you're menopausal or perimenopausal? Will fasting still work for you? Is it even safe during this time?
As an integrative physician, I've spent the last decade working with thousands of patients, many of whom were women going through menopause. Here's a brief look at how menopause changes your body and how intermittent fasting might help with many of the common symptoms.
Why you gain weight during menopause.
Menopause is the natural decline in sex hormones that happens as women reach their 40s and 50s. During this time, the ovaries stop producing estrogen and progesterone, which, in turn, stops menstruation. You've officially reached menopause when you haven't had your period for 12 months. However, amenorrhea, the loss of the period, is not the only symptom of menopause.
Menopause comes with a variety of symptoms, including:
- Hot flashes
- Vaginal dryness
- Decreased libido
- Increased heart disease risk
- Night sweats
- Mood changes
And, most notable for many, menopause also causes changes to the metabolism. Typically, the metabolism slows down during menopause because estrogen and progesterone levels fall out of balance. The sudden hormonal shift causes many women to gain weight.
You may also become less sensitive to insulin during menopause, meaning you have trouble processing sugar and refined carbohydrates—a metabolic change called insulin resistance. Insulin resistance often comes with fatigue and trouble sleeping.
Menopause can be a scary time. You may feel like you don't understand your body as well as you used to, and symptoms, like sudden weight gain, can cause you to feel anxious and depressed.
The good news is that intermittent fasting is an ideal tool to help you through menopause. If you’re struggling with weight gain, fatigue, and/or insulin resistance during menopause, you may want to give it a try.
Will intermittent fasting help with menopause symptoms?
In short: yes. Intermittent fasting can help with several symptoms of menopause, including:
Insulin resistance. Fasting increases insulin sensitivity, which makes your body better at processing sugar and carbohydrates. It may also decrease your risk of heart attack, diabetes, and other metabolic diseases.
Mental health changes. Menopause often causes anxiety, depression, fatigue, brain fog, mood swings, and psychological stress. Studies have found that fasting improves self-esteem, eases depression and stress levels, and encourages overall positive psychological shifts.
Brain fog. Studies in animals have found that fasting protects brain cells from stress, helps them clear out waste materials, repair themselves, and makes them more efficient. There are no studies on how fasting affects the human brain yet, but one of the most common things people report while fasting is increased mental clarity. The evidence isn't all in on this benefit, but you can give fasting a try and see if you notice a difference.
How to intermittent fast during menopause.
Intermittent fasting is quite simple to do. You pick an eating window that works for you—say, from 12 p.m. to 8 p.m.—and you eat all your calories in that time frame. Outside of your eating window, you fast—just water and noncaloric drinks like coffee or tea. In other words, you're fasting for 16 hours every day, and eating for eight hours every day. That's called a 16:8 fast, and it is one of the most basic intermittent fasting structures.
The nice thing about intermittent fasting is that it's flexible. Many people start with shorter fasts (14:10 fasts are popular, 14 hours fasting, 10 eating) and gradually increase their fast length. Some people go all the way to eating only one meal a day. You can play with different fasting schedules and see what feels best for you.
Bottom line: Should you try intermittent fasting during menopause?
Intermittent fasting is a great tool for managing weight gain, insulin resistance, and other common symptoms of menopause.
That said, there are some people who may not want to try intermittent fasting. Intermittent fasting puts mild stress on your body, and if you have adrenal fatigue or a chronic illness, you may not want to incorporate intermittent fasting into your daily routine.
If you decide to give intermittent fasting a try, pay attention to how you feel. If fasting makes you feel too stressed, or if you feel weak or ill during fasting, you may want to either shorten your fast or skip intermittent fasting entirely. Keep in mind that you don't have to fast every day, either. You can always fast every other day or even just a couple of times a week.
Menopause can be a challenging time, but with the right diet and lifestyle changes, you can stay fit, happy, and healthy, even as your hormones change. Read up on common myths about menopause and blood sugar balance during menopause for more tools to help you look and feel your best.
Dr. Taz Bhatia is a board-certified physician, specializing in integrative and emergency medicine, pediatrics and prevention, with expertise in women’s health, weight-loss, hormone balance and nutrition. She attended Emory University, the University of Georgia and the Medical College of Georgia, and was a recipient of the Emily Gardner Award for Best Pediatric Resident in 2000. She is the author of the Superwoman RX and The 21-Day Belly Fix. Personal health challenges in her twenties combined with a broken health care system motivated Bhatia to pursue an alternative definition of health and healthy living. As a young resident, she was sick and without answers, and began searching for help to heal her health issues. Studying various systems of medicine including Chinese Medicine, Acupuncture and Ayurveda, she found a wealth of information not yet taught in conventional medical schools. It led her to opening her now nationally-recognized practice, CentreSpring MD (formerly Atlanta Center for Holistic and Integrative Medicine). Today, Bhatia and her team work relentlessly to find a patient’s core health problems, their centre, in order to spring them forth in health, pulling from multiple systems of medicine, including integrative, functional, Chinese and holistic medicine.