Many women in their late forties and fifties discover that the waistband feels tighter even when their food diary looks the same. The mid-section padding, often called “menopause belly,” is more than a vanity issue; it raises cardiometabolic risk. Understandably, the next question is whether hormone treatment can reverse the trend or at least make the scale move again. Below is a clear-eyed look at what science—and clinical guidelines—really say.
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