Menopause and a bloated stomach: the impact of insulin resistance

Medically approved by Arnaud, a Doctor of Pharmacy and owner of the Soin et Nature Pharmacy.
The menopause is a biological transition characterised by the permanent cessation of ovarian function and ovulatory cycles. Beyond the classic symptoms, it causes a profound change in basal metabolism. This transition promotes a redistribution of body fat, shifting from a ‘gynoid’ body shape (hips) to an ‘android’ body shape (abdomen).

Why do we see a bloated stomach during the menopause?

The drop in oestrogen shifts fat storage towards the visceral area. This phenomenon thus alters insulin sensitivity and consequently promotes inflammation of the abdominal tissues.
This change is not an inevitable consequence of calorie intake. Several factors influence the extent of this weight gain:

  • Hormonal decline: A lack of oestrogen reduces the muscles’ ability to burn fat.
  • The role of smoking: Smoking brings forward the age of menopause by 1 to 2 years, thereby accelerating these issues.
  • Pre-existing obesity: This exacerbates insulin resistance, creating a vicious cycle of abdominal fat storage.

A bloated stomach and the menopause: what role does insulin resistance play?

Insulin resistance occurs when cells no longer respond effectively to insulin. The body then stores circulating sugar directly as visceral fat.
Furthermore, the consumption of sugary drinks exacerbates this process. A study by Longgang Zhao’s team (2022) involving 90,504 women shows that one daily serving of fizzy drink increases the risk of inflammation-related liver disease by 78%. In our practice, we also find that managing blood sugar levels is the number one factor in stabilising waist circumference after the age of 50 and alleviating the symptoms of the menopause.

How can you naturally reduce a bloated stomach during the menopause?

To combat abdominal fat, we therefore recommend a three-point strategy:

  • Avoid “0%” products: Sweeteners disrupt the insulin response. Indeed, studies show that consumers of low-calorie products eat 30 to 50% more calories as a result of the brain’s compensatory response.
  • Spread out protein intake: Snacks rich in fibre and protein prevent blood sugar spikes and thus compulsive snacking.
  • Use targeted plant extracts: Ginseng regulates sugar metabolism, whilst Orthosiphon drains congested tissues.

Which plants should be prioritised for a bloated stomach during the menopause?

To support metabolic changes and optimise insulin management, herbal medicine offers targeted solutions. In our pharmacy, we favour Standardised Plant Extracts (SPE) for their high concentration of active ingredients.

Here is a comparison table of the natural solutions we recommend to regulate blood sugar levels, drain tissues and slim the figure:

Active ingredient (Plant) Main action Arnaud’s Advice (Pharmacy)
Ginseng (EPS) Blood sugar regulator Ideal for curbing sugar cravings at 4 pm.
Orthosiphon (EPS) Drainage and water retention Best taken if you have a bloated stomach in the evening.
Lemon verbena Lipid-lowering Aids the digestion of complex fats.

Restoring balance to a bloated stomach during the menopause

A bloated stomach during the menopause is not an inevitable consequence of ageing, but a sign of a profound metabolic transition. As we have seen, the key lies not in calorie restriction, but in managing your insulin levels and reducing abdominal inflammation.

By adopting a low-glycaemic index diet, avoiding misleading products such as ‘0%’ items, and using targeted herbal remedies (Ginseng, Orthosiphon), you give your body the tools it needs to stabilise your figure. Every metabolism is unique: so please do not hesitate to seek advice from your pharmacist to tailor these natural solutions to your specific needs and navigate this transition with confidence and vitality.

Sources:

– Zhao L, et al. “Sugar-Sweetened Beverages and Liver Cancer Risk”, 2022.
– NutriNet-Santé, British Medical Journal (BMJ), 2019.
– Vidal and HAS recommendations on the management of the menopause.

FAQ: Bloated stomach and the menopause

Why does the tummy swell during the menopause?

The drop in oestrogen shifts fat storage from the hips to the abdomen. This hormonal change promotes inflammation and visceral fat.

What is insulin resistance?

It is the ‘driving force’ behind abdominal fat storage: the body no longer manages sugar effectively and converts it directly into fat around the waist.

Should you eat “0%” or low-fat products?

No. Sweeteners disrupt insulin function and cause the brain to demand 30 to 50% more calories as compensation.

Which herbs should you choose to reduce bloating?

  • Ginseng: To curb sugar cravings at 4 pm.
  • Orthosiphon: To help with fluid retention if your stomach swells in the evening.
  • Lemon verbena: To help digest fats more effectively.

How can you naturally boost your metabolism?

Opt for a low glycaemic index (GI) diet, spread your protein intake throughout the day and avoid sugary drinks, which increase inflammation by 78%.

Does smoking have an impact?

Yes. It brings forward the onset of the menopause by 1 to 2 years and accelerates the accumulation of abdominal fat.

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