Post-menopause weight loss: when to get advice

Weight can change after menopause because appetite, activity, muscle mass, sleep, mood, and eating patterns change. Unplanned loss may also be related to dental or swallowing problems, thyroid disease, diabetes, digestive conditions, infection, medication effects, or another illness.

Pay attention to reduced appetite, thirst or frequent urination, diarrhoea, vomiting, abdominal pain, persistent cough, night sweats, low mood, or marked tiredness. Weight loss by itself cannot identify a diagnosis, but the combination of symptoms helps guide assessment.

Arrange a medical review if the change was not intentional or continues. Keep a record of weight trends, appetite, meals, bowel symptoms, sleep, activity, and medicines. Eat regular nourishing meals with adequate protein and fluids while waiting for advice, unless a clinician has given different instructions.

If you are trying to lose weight, discuss a safe plan that protects muscle and bone health. Avoid restrictive diets when you are already losing weight without intending to.

Seek urgent help for severe dehydration, repeated vomiting, blood in vomit or stool, severe abdominal pain, chest pain, serious breathlessness, fainting, or new confusion. Arrange prompt care for continuing unplanned loss, difficulty swallowing, persistent fever, or drenching night sweats.

Ask which causes should be checked, whether your medicines could contribute, and whether blood tests or other investigations are appropriate. Ask for nutrition support if eating is difficult and agree when your progress should be reviewed.