Your Body Isn’t Failing You ~ Navigating Weight & Self-Care in Perimenopause
In a recent candid interview I read, the TV presenter and menopause campaigner Lisa Snowdon spoke openly about gaining three stone during perimenopause - and the emotional, physical, and social complexities that followed.
Her story, like so many, sits at the tension point between two powerful forces many women gaining weight in midlife grapple with: the desire for self-control and the need for self-acceptance.
In this blog, I explore why the way women connect with their changing bodies matters - not just for their health, but for their emotional wellbeing.
Why Weight Changes in Perimenopause Are Not a Personal Failure
As a Nutritional Therapy Practitioner specialising in supporting positive food and body relationships, I meet women daily who are trying to make sense of tug-of-war between urges to fight their weight and wanting to feel at peace with themselves.
Perhaps you’ve noticed your own shape shifting, your appetite changing, or your energy waning. Maybe your clothes no longer fit as they once did. Maybe you’re doing everything “right,” and yet it feels like your body is no longer responding in the way it used to.
The reality is: your body isn’t misbehaving - it’s evolving. Midlife brings profound biological changes. Hormonal shifts, particularly declining oestrogen, can affect fat distribution, insulin sensitivity, muscle mass, sleep quality, and even hunger and satiety signals. In short, your body’s needs are changing - and this phase invites us to adapt not through control, but through attentiveness and care.
While menopause can bring many symptoms, weight gain is the one I focus on in this blog - not because it’s the most important, but because it so often becomes a source of confusion, shame, and struggle.
Unfortunately, we live in a culture that equates thinness with health, ageing with decline, and discipline with virtue. Within that framework, weight gain is frequently misinterpreted as a lapse in willpower. But the idea that weight is fully within our conscious control - at any age, and especially during this transitional life stage - is both outdated and unhelpful.
It can fuel a cycle of guilt and overcorrection, pulling women into patterns of restriction, self-monitoring, and mistrust. Ironically, these same patterns can place added stress on the body and, over time, may even contribute to further weight gain.
So, DO WOMEN ALWAYS Gain Weight if We Don’t Adapt HABITS?
Not always - but weight gain during perimenopause is extremely common, and for good reason.
As oestrogen declines, the body undergoes a series of metabolic and hormonal shifts:
Fat storage patterns change
Insulin sensitivity may decrease
Muscle mass naturally declines
Sleep can be disrupted
Hunger and fullness cues may shift
Stress levels often rise
All of this can affect body composition, energy, and appetite - sometimes even when daily habits haven’t changed much at all.
MOVING FROM SELF-CONTROL TO SELF-CARE
In a bid to tackle body changes during midlife and menopause, many women can find themselves toggling between episodes of self-imposed “clean eating,” intermittent fasting, or intense exercise, and moments of rebellion, emotional eating or overwhelm. Lisa Snowdon herself articulates this back-and-forth - a push and pull between joyful living and the urge to regain control.
This isn’t a character flaw. It’s what happens when your body’s needs are changing - but the tools we’re typically taught to rely on, like dietary restriction, calorie or macro control, rigid fitness routines, and sheer willpower, no longer serve us.
It’s completely understandable to want to “do something” in response to weight gain. But here’s the critical distinction:
The purpose of adapting self-care isn’t to prevent weight gain out of fear - it’s to stay in relationship with a body that’s changing.
We’re not trying to get our old bodies back. We’re learning how to support the body we live in now - with more nourishment, more consistency, more rest, and more compassion.
Even then, the reality is that body shape, weight, or size may or may not change in response, even if we felt better in other ways. Genetics, food history, past dieting and weight cycling, stress levels, certain health conditions, and hormonal shifts can all influence how our bodies settle when it comes to weight, shape and size.
From a health-first, weight-neutral perspective, weight loss is not the measure of success. The aim isn’t to fix your body - it’s to work with it. To learn how to shift from judgment to curiosity, and from managing your body to listening and meeting its needs with care and respect.
An Intuitive Approach to Midlife Nourishment
Here are a few gentle principles I offer women who are ready to move beyond the control-acceptance pendulum and into something more grounded, attuned, and sustainable:
1. Respect the body you’re in
Weight gain is not a moral failing. It may be a sign that your body is adjusting, protecting, or seeking new rhythms. These changes are not problems to fix, they are invitations to listen more deeply. Body respect doesn’t require you to love how your body looks. It simply means treating it with care, dignity, and compassion - even when it’s changing in ways you didn’t choose.
2. Honour hunger and energy needs
Menopausal bodies often require different rhythms of eating. Skipping meals or extending fasts can undermine energy, sleep, mood, and metabolism. Trust that your hunger is not a mistake - it’s your body’s intelligent way of keeping you nourished.
3. Eat for satisfaction, not just function
Yes, nutrition matters, but so does pleasure. A nourishing diet includes foods that bring you joy, variety, and cultural or emotional meaning. Balanced eating is not about compensation (“I was ‘good’ today, so I can indulge tomorrow”) - it’s about consistency, eating enough, and finding satisfaction in your eating experiences. In turn this can help protect against
4. Support your nervous system
The stress of weight anxiety often does more harm than weight itself. Chronic stress and internalised weight stigma have been shown to raise cortisol levels, increase cravings, impair sleep, and even discourage people from engaging in supportive self-care behaviours. Practices like gentle movement, nervous system regulation, and rest may be just as critical to long-term health as what’s on your plate.
5. Let movement be rejuvenating
Exercise in midlife can be empowering, but if it becomes punitive or relentless, it risks disconnecting us from our bodies. Choose movement that makes you feel strong, alive, or connected. Some days that might be lifting weights. Other days it’s a walk in the woods or a slow stretch in your living room.
MY CONCLUSIONS
Midlife is not a crisis. It can be a creative, transitional phase. And how we relate to our bodies during this time may set the stage for how we live the decades to come.
Supporting your body during this time is not about applying endless self-discipline or following rigid food rules. It’s about cultivating agency, compassion, a more expansive definition of health, and nurturing more neutrality around your body image. After all, you don’t have to love every part of your body to care for it well. You can value what your body does, even if you’re still making peace with how it looks.
If you’re struggling to feel at home in your changing body, you’re not alone - and you don’t have to figure it out by yourself. If you’re ready to move beyond the diet cycle and reconnect with your body in a wiser, more sustainable way, I invite you to explore my Food & Body Confidence Programmes. Together, we’ll uncover what your body is asking for, and how to effectively nourish yourself (both with food and with compassion!). Because this next chapter doesn’t have to be a battle - it can be about care and connection with the body you’re in.
Take a nourishing step forward today
Are worries about food, weight, or overeating draining your time, energy, and peace of mind? Are you struggling with low mood, persistent food cravings, poor gut health or digestive challenges?
Old mindsets and habits can be hard to shift on your own. If you are looking to find peace with food and your body, and eat with more confidence and ease, I can help you.
Please check out my private programmes here, or book an exploratory chat to find out more.
