Why Do They call it “Middle” Age?
Midlife Weight Gain Explained

by Gretchen Frey, MD
In over 30 years of practice, I think the number one complaint I have heard from female patients over 40 is gradual weight gain. This most often happens around the perimenopause (roughly age 45-55), and it is nearly universal. No matter how active, fit, or historically thin a woman may have been (and many of us have not been especially active or thin), somewhere in this window the weight will begin to increase, and it all seems to gather at the waist rather than on the hips as we’re used to seeing. I decided when this happened to me that it must be the true meaning of “middle” age!

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