The #1 Secret to Losing Menopausal Belly Fat
15 Dec 2025 · 17 min
JJ Virgin explains why estrogen loss during menopause triggers visceral belly fat and insulin resistance. The fix: resistance training three times weekly per body part, protein at 0.7 to 1 gram per pound of target weight, and creatine supplementation. Post-meal walks and stress management protect muscle and metabolism.
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I'm JJ Virgin, PhD dropout.
Sorry mom turned four time New York.
Times Best selling author. Yes, I'm a Certified Nutrition Specialist, Fitness hall of Famer and I speak at health conferences and trainings around the globe. But I'm driven by my insatiable curiosity and love of science to keep asking questions, digging for answers and sharing the information I uncover with as many people as I can. And that's why I created the well Beyond 40 podcast to synthesize and simplify the science of health into actionable strategies to help you thrive. In each episode we'll talk about what's working in the world of wellness, from personalized nutrition and healing your metabolism to healthy aging and prescriptive fitness. Join me on the journey to better health so you can love how you.
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The number one secret to losing that dreaded menopause belly. It might surprise you that I'm not going to say it's about what you eat. It's actually about what you lift. Now, of course, diet plays an important role, but I'm going to explain why the biggest needle mover is actually putting on skeletal muscle. But before I get into it, let's first talk about why women tend to put on belly fat during menopause.
Menopause.
So abdominal fat, also called visceral fat or visceral adipose tissue, is the fat stored within the abdominal cavity and surrounding internal organs. This is the most dangerous fat, way more dangerous than subcutaneous fat. And that's that fat stored right below the skin. That's where you can pinch the inch, right? You might hate that subcutaneous fat, but the visceral fat's the problem. Fat. It's been linked to insulin resistance to diabetes, heart disease, and even certain cancers. Now, visceral fat goes up during menopause for a few key reasons. First of all, lower estrogen because estrogen regulates metabolism and fat storage. And when estrogen levels get lower, it can disrupt the balance of follicle stimulating hormone, luteinizing hormone, testosterone and progesterone levels and result in weight gain, and especially that weight gain in the abdominal region. Next one is insulin sensitivity. So as we age, we tend to become more insulin resistant. This happens to because of a variety of things. It can be because we're not sleeping well, our cortisol is going up, we're losing muscle mass, we're not as active. Plus we might be eating ultra processed foods, washed down with a glass of rose or a Cosmo. All of that, you end up with blood sugar imbalances and insulin resistance. Now, I just mentioned stress. And here's the thing. This is the big doozy. During this time, cortisol tends to go up during perimenopause. And when you have higher cortisol, this is going to super contribute to abdominal fat. Plus it also contributes to other things like cardiovascular disease, hot flashes, night sweats, mood, brain issues, bone loss, and insulin resistance. All right, so we're in perimenopause, our hormones are going sideways, we're gaining belly fat. So what is the solution? Here's what I want you to do. I want you to take the focus off of your weight here and I want you instead to focus on improving what your weight is made up of by focus on adding muscle, which will help you lose that vat fat. First thing you're going to want to do is invest in a bioimpedance scale so you can identify what what your weight is made up of because again, we're going to focus on putting on muscle. You're also going to want to get a tight measure because this is the simplest way, the simple at home way to really see this vat fat. I like to say that if you're losing weight without losing your waist, you're making yourself worse, not better. I want you to focus on holding on to and building muscle as part of your prescription to feeling your best during this crazy transition time and afterwards. Now, I call muscle your metabolic Spanx because it holds everything in tighter and it boosts your metabolism. One study showed that resistance training is a viable long term way to prevent weight gain and other negative changes in body composition for postmenopausal women. And another showed that doing resistance training during menopause generated muscle making cells and provided the strength building stimulus women need as estrogen starts to decline. Plus, it also helps lower your risk of osteoporosis, which is a massive benefit. Besides being metabolic Spanx, muscle is also a sugar sponge. It gives carbs a place to land where it's stored for future energy rather than beelining to your belly where they're stored as fat fat. All right, so the important question I hope you're asking right now is, okay, so I want to build muscle. What should I be doing? First of all, put the pink weights down. All right, Those are paperweights. What you really have to do here is lift heavy things. Now I don't care what the things are. It could be weights, could be body weight, could be a TRX trainer, love those, could be cables. But the important thing is here that you have to lift heavy things a lot. I'm going to walk you through how I do this. I divide the body into a couple different segments. Number one is your upper body pushing. Upper body pushing is your chest, your shoulders and your triceps. This would be things like a push up, a dip, an overhead press, a chest press, then there's upper body pulling. These are things like a bent over row, an upright row, a lap pull down, a pull up. Then there's lower body, which is hip and thigh hinging. And those are things like squats and step ups and lunges and deadlifts. And then there's core and rotation and Core and rotation. I'll tell you, a lot of the core that I teach people to do happens in those bigger compound movements. Because I want you doing compound functional movements. Again, if you're doing a squat, you're working your core. If you're doing a bent over row, you're working your core. And I'll explain how else I integrate in the core and rotation movements. So first let's talk about that upper body pushing, upper body pulling, and hips and thighs. So I want you doing each body part three times a week. That's best to build muscle strength is 1 to 5 of repetitions of an exercise. Hypertrophy works More in the 8 to 15 range, but can go even higher than that. Here's the important concept. You are going to take an exercise, let's take a squat, and you are going to do what you can do in gray, good form for 10 to 15 repetitions. Take a break and do it again. And ideally do it three to four times. You want to hold the amount of weight that you can do for 10 to 15 repetitions, but you couldn't actually do another one after that. You want to get to as close to failure as possible on at least one of the sets. That's what really helps you build that hypertrophy. If you're worried about getting injured, this is where you really want to work with a personal trainer or a physical therapist to help design an exercise program with you. Because where you really tend to get injured is in everyday life not doing exercise. You want the exercise to build the muscle, to help protect your bones, protect your joints, protect your muscles from the things that could happen in everyday life. So this is going to make it easier for you to get out of that low chair, easier for you to carry the groceries up the stairs, right? So I like to do activities that really resemble everyday life. So you're gonna do resistance training for each body part three days a week. That's the goal. And then you're going to do, I like to add in yoga, especially hot yoga, because it's gonna add in the balance, the core and the rotation another day a week. So maybe one day a week, you can add in the second if you'd like to. And then you also need to do some blended cardio. So if we're doing resistance training three days a week, we're doing a yoga class one day a week. And then we do some blended cardio. And this is what blended cardio is, because remember, when we're looking at fitness, we're focusing on muscle. The Most, because as we age, if we're not doing anything about it, we lose 1% of muscle every year starting at age 40. It starts to double at age 60, but we lose 2 to 4% of our strength. So we tend to lose this the most. So that's why that's my primary focus. But then I also want to make sure we have that cardiorespiratory fitness and the balance, because all of these impact our health span. In fact, they have linked poor balance, poor grip strength, and poor cardiovascular fitness, all with a dramatic increase in all cause mortality. Okay, so that's why we're doing all of this. So I have you do blended cardio training. It's a HIIT Zone 2 blend. What the heck is that, JJ? So, first of all, high intensity interval training is where you do something all out, kind of like, remember, remember maybe when you were 10 and you were on the playground and you were running away from a kid and your lungs and your thighs burned, when was the last time you felt like that? Because that's how you're supposed to feel. So maybe you're on a bike and you stand up and you pedal really hard for 30 seconds, then you sit down and you pedal easy for a minute or two, and then you do it again. You do bursts of that high intensity interval training. And by the way, it's really great Study showed that HIIT training is better at dropping that fat than just if you did walking and resistance trainings. So let me walk you through this study. So there were two groups. One group did resistance training and some walking, and the other group did high intensity interval training. And here's what's super cool, is they found that the high intensity interval training group really reduced that visceral adipose tissue way more than the group that just did resistance training and walking. Now, I want you to do both, right? Because we know that resistance training is going to help you have a place for the carbohydrates to go that's not your belly, and boost your metabolism. But we also know the HIIT helps you burn more of that fat fat. So let's put both of those into the training program. Resistance training three days a week. Now, what about the hiit? HIIT I'd really love you to do three times a week as well. Again, what you'll do is you'll start with the high intensity interval training, and then you'll move into what's called zone two, steady state training. And that's like, where you can carry on a conversation. But again, it's a little breathy. And then I'm going to give you some bonus points here is if you can get a walk in after dinner. Now, when I'm traveling, we always make a point of walking back and forth to a restaurant so that we walk after dinner. But when you're walking after dinner, even this 20 minutes, you lower the blood sugar response to the meal because you give the carbohydrates a place to go. So that is super important. Important. Now, in order to fuel your muscles, you got to work your muscles, but you also need to give them the building blocks they need to build muscle, and that is protein. So let's talk protein, because this is the most important and the most underrated macronutrient and really a true superstar in the battle of the menopause belly. So it turns out that the average woman is getting somewhere around 45 to 60 grams of dietary protein a day. And that is so far below what she needs, it's even below the silly recommended daily allowance. In fact, what's showing right now, all the top nutrition scientists are getting into this 0.7 to 1 gram per pound of target body weight. That's what you want to be eating every single day. And by the way, if you think, oh, I'm eating less as I age, actually that's not true. Your need for protein actually increases during perimenopause because you have this hormonally induced tissue protein breakdown and anabolic resistance. So what happens during menopause is your body needs more protein in order to build muscle. You get worse at doing it. If you are not getting enough protein, it then causes you to eat more. So here's how this works. This is called the protein leverage hypothesis. Let's say that you're eating a higher carb, higher fat, lower protein diet like I just described. Your body will have its own drive. Your appetite will will be bigger to eat more, because your body knows it needs more protein. So you'll actually start to try to eat more to get to the level of protein that you need. So instead of doing that, just eat more protein, you'll end up eating less, you'll have a better thermic response and you'll be able to build muscle. In fact, just eating protein, you'll be able to build more muscle even if you didn't do anything else, which isn't going to be the case.
Right.
Here's the thing. As you're going through menopause, you tend to expend less energy, so you really actually need to eat less. Right now, not if we're getting all the exercise and stuff in, but for most of us, you're eating less, you're spending less energy, you're eating less calories, and now you need to make sure that you're getting enough protein. So what I want you to really do is go protein first. Ensure that you're getting 0.7 to 1 gram per pound of target body weight. That always is the way you build your plate. Start with your protein first, right? And make sure your bumper meals, that's when you break your fast and your last meal of the day, have at least 30 grams of quality protein in them. And I would aim for the higher end of that spectrum if you're focused on fat loss. By the way, we know that if you're either trying to lose fat or you are working out heavy, or you're a plant based or vegan vegetarian, you're going to want to be on the higher end of the spectrum. And if you're vegan, you're going to want to supplement with a plant based protein powder too, because there's no way you're getting to where you need to be just with plants alone. So I've got my Reignite Wellness all in one plant based protein shake that will ensure that you're getting all of the essential amino acids your body needs. And I will tell you that if you just optimize protein without adding in resistance training, your body would actually build muscle. You're not going to do that though, right? You're going to combine it with that hard resistance training and then you have this exponential effect from doing it. And when you increase that protein, you're going to drop the carbs and fats, you'll probably drop them even more because protein's so much more satiating. But I like to use a tracker, a macro tracker, so that I'm assuring that I'm getting my protein needs in every single day. I also, besides just the protein, am a huge, huge proponent of creatine monohydrate. Now here's the thing. Since we're talking about maintaining or better yet, increasing skeletal muscle, I gotta shout out on this. Creatine is an amino acid that's produced in the liver and the kidneys and then delivered to the skeletal muscle for use. Now, about 95% of creatine is stored in the skeletal muscle of your body and it's used during physical activity. It helps to maintain a continuous supply of energy to working muscles by keeping production up in working muscles. If you do not have enough Creatine coming in, your body is going to break down muscle tissue to get the creatine that it needs. Now your body can make some creatine and some foods like beef and fish provide a little bit. But as we age, go figure, production declines. It starts about age 30 and then rates fall like 8% per decade. And by the way, most of us aren't eating enough of the foods that we should to get sufficient creatine anyway, besides the fact that we are decreasing in production. So you're going to want to supplement as you age. In fact, research shows that supplementing with creatine can improve your exercise performance. It can help you recover from intense energy, it can help prevent or reduce the severity of energy, and it can increase your fat free muscle mass during training. Research that looked at supplementation with creatine during menopause shows that it helps prevent losses in muscle and bone strength, it can reduce inflammation and, and it can lower oxidative stress. Now I will tell you that like, I have been big into researching this and I went on it, I have my husband go on it, and I am having all my friends that are 40 plus go on it. This is literally one of the most studied supplements out there. And the benefits are insane and there's no downside. And it's not expensive either. Now here's the thing. It can take about a month to saturate your tissues with creatine. So you can either take it for a month and it'll take about that long to kick in, or, or you can take five grams four times a day for five days and then general dosing somewhere in three to five grams a day, depending on your size. Now the important thing with creatine is that you got to be consistent with taking it regularly to keep those tissues levels. It's not one that you're like, oh, I took it yesterday, I'll take it next month. No, you got to take it every single day. Super important. All right, let's talk stress. Because one of the big shifts that happens during menopause is that we just are not good at tolerating stress. Now, higher cortisol levels, cortisol tends to come up during menopause and higher cortisol levels are catabolic. What does that mean? That means you're going to break down muscle, precious muscle that we're trying so hard to hold on to and build. It also messes with your sleep. You're going to struggle to sleep well and you got to sleep well for the repair and recovery process to Build muscle. Of course, stress also impairs thyroid function. And if your thyroid isn't working well, you are not going to be able to build muscle either. So you gotta figure out what works for you to manage stress. This is no longer like, oh, that'd be nice to do. This is like, no, you gotta do this now. This is essential. From this moment forward, I want you to think of dealing with your stress is like taking your nervous system to the gym. And I will tell you that I decided last couple years ago that I was going to really focus on this. I'd always poo pooed it, blown it off. It was always one of my issues. And I started going to Dr. Joe Dispenzo workshops and the first time I went week long, all my friends were having these tremendous breakthroughs. I was sitting there like nothing's working over here and I realized that I wouldn't have gone to the gym for a week. Thought I was going to be in great, great shape, you know, and all of a sudden I'm done. That would never have happened. So I'm sitting here and I went, you know what, I'm going to give this, like if I was going to start someone working out, I'd say give it six months. So I decided to give it six months. So here I am, I'm going to Dr. Joe. And after the first one, didn't really notice a whole lot and. But I kept doing it every single day. Thankfully my husband did it with me. Second one, I was like, maybe I'm getting a little better, I don't know. It took about nine months. The shift has been profound. It is such a massive thing. So I'm telling you this to impress on you. It's so much different than going to the gym where you go, I got stronger, I lifted 5 pounds, now I lift 10. This is a different feeling. Give yourself time but find something that works for you. Whether it's meditation, yoga, deep breathing, sound healing, forest bathing, qigong tapping, just something because it is very clear, like the studies show that when you're practicing mind body therapies again, any of those types of things, it's going to help you alleviate these overall menopausal symptoms. The hot flashes, the night sweats, the issues with mood and sleep, the muscular skeletal pain. So you got to find your bliss. Okay, now here's the deal. Battling that menopause belly fat by eating protein first and lifting heavy things. That's what we are going to do here, right? We are going to be putting on muscle. Be sure to Join me next time for more tools, tools, tips and techniques you can incorporate into everyday life to ensure you look and feel great and more importantly, that you're built to last. And check me out on Instagram, Facebook, YouTube and my website, jjvirgin.com and make sure to follow my podcast so you don't miss a single episode@subscribetojay.com See you next time. Foreign.
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