warum nimmt man in den wechseljahren zu — when to see a doctor?

Weight gain during menopause is multifactorial. Declining estrogen levels reduce basal metabolic rate and shift fat distribution toward visceral fat. Contributing factors include sleep disturbances, stress, and dietary changes. You should see a doctor if weight gain persists despite lifestyle adjustments, if accompanied by severe menopausal symptoms (hot flashes, mood swings, joint pain), or if you suspect an underlying condition like hypothyroidism. Evidence-based management includes dietary modifications (adequate protein, fiber, calcium), regular strength training, stress reduction, and possibly hormone therapy after discussing risks and benefits. Genetic tests for menopause-related weight gain have limited predictive value and are not recommended for clinical decisions. The evidence grade is 'practice' based on clinical guidelines.