Docs Who Lift Menopause, MHT, and GLP-1 medicines
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Jun 12, 2025 
Beverly Tchang, an associate professor at Cornell and an obesity specialist, dives into the complexities of menopausal hormonal therapy and its impact on weight management. She emphasizes that not all women should receive hormone therapy and warns against oversimplifications in the wellness industry. The discussion highlights the intricate relationship between hormonal changes and weight, the importance of personalized treatments, and the challenge of navigating various treatment options. Tchang calls for better education, awareness, and future clinical trials to advance women's health.
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Terzepatide Effective Across Menopause
- Weight loss via terzepatide works similarly across all reproductive stages in women.
- Menopausal status does not significantly modify the weight loss effect in randomized trial data.
Estrogen's Modest Role in Weight
- Estrogen may protect slightly against fat gain during menopause but the effect is small.
- Wellness claims often exaggerate benefits of hormone replacement on weight management.
Use Hormone Therapy Wisely
- For appropriate patients, menopausal hormone therapy can improve quality of life during menopause.
- Use hormone therapy where indicated, but it is not a standalone weight loss solution.