By Colleen McCleery, MD, OB/GYN—Exuberan® by Virtua Menopause is a mixed bag of little surprises. While most women look forward to saying goodbye to tampons and pads, far fewer are excited to now experience hot flashes and night sweats. And it’s probably fair to say that weight gain is the least popular and often least expected “side effect” of this hormonal shift. Considering many women struggle with their weight on a good day, it’s not surprising that this is the number one complaint from patients who are going through this transition. The biology of menopause During the late 40s to mid-50s, a hormone called FSH (follicle-stimulating hormone) increases and no longer performs its job to regulate the ovaries. During this increase in FSH, other hormones like estrogen, progesterone and testosterone decrease. A decrease in testosterone can lead to weight gain and decreased energy. And, not surprisingly, estrogen loss has far-reaching effects beyond hot flashes. It contribut
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