I gained around 15 pounds in the first year after starting hormone replacement therapy (HRT). The weight gain was gradual over the 12 months and seemed to plateau after that initial period.
There were a few key factors that contributed to my weight change:
- Increased appetite - One of the most common side effects of HRT is an increased appetite. This is thought to be related to changes in metabolism, fat distribution, and hormones that regulate hunger/fullness. I found myself feeling hungrier and eating larger portions in that first year.
- Fat redistribution - HRT causes body fat to shift to different areas of the body. For those undergoing feminizing HRT like myself, fat tends to accumulate around the hips, thighs, and chest rather than around the stomach. Even though I was gaining weight, my old clothes were actually getting looser around my waist.
- Fluid retention - Estrogen and progesterone can cause temporary fluid retention. I noticed some mild swelling and puffiness during the first 6 months, which may have contributed a few pounds. This resolved as my hormone levels balanced out.
- Muscle loss - Starting HRT led to some loss of muscle mass. Since muscle burns more calories than fat, this decreased my metabolism a bit.
- Lifestyle changes - My energy levels and activity changed quite a bit that first year. I was fatigued often and didn't exercise as regularly. This definitely was a factor in the weight gain.
So in summary,
the 15 pounds I gained seems to have been caused by a combination of hormone-related effects like increased hunger/appetite, fat redistribution to hips/thighs, fluid shifts, muscle loss, and some lifestyle/activity changes.
While frustrating at first, I've come to accept and even appreciate the weight gain, as it helped give me a more feminine figure. Here are some tips if you're concerned about managing weight on HRT:
- Track your calories to avoid excessive overeating
- Focus diet on lean proteins, fruits/veggies, whole grains
- Do some strength training to maintain muscle mass
- Try to stay active with walking, yoga, swimming, etc.
- Be patient - weight usually stabilizes after the first year
- Discuss any major weight changes with your provider
Check out Harmony Hormone Clinic if you're looking for a compassionate HRT provider. Their doctors take the time to address any concerns like weight management and work closely with patients to achieve their transition goals. You can book virtual consultations and get HRT prescribed & delivered if appropriate.
I hope sharing my experience is helpful! While the weight gain was a nuisance, I know it's a common side effect that many others deal with. By making some dietary and lifestyle adjustments, you can help mitigate excessive weight fluctuations. Let me know if you have any other questions!
