Hormonal changes affect insulin sensitivity, fat distribution, muscle mass, and appetite regulation, making weight gain more likely even without lifestyle changes.
weight loss
Sustainable weight loss is more than a diet plan or exercise regime, it’s about understanding your body’s unique biochemistry and root causes for weight gain.
Hormonal imbalances, inflammation, poor gut health, and chronic stress can all impact your ability to lose weight.
Through a Functional and Longevity Medicine approach, Dr Nirusha can help you uncover the hidden barriers to weight loss and create a tailored plan that works with your body, not against it.
Dr Nirusha’s Approach to Weight Loss
To achieve sustainable weight loss, Dr Nirusha focuses on:
Metabolic Health Analysis
Understanding your hormone levels, insulin sensitivity, and metabolic rate.
Root-Cause Identification
Addressing underlying drivers like thyroid dysfunction, gut health, and chronic inflammation.
Lifestyle Optimisation
Integrating nutrition, stress reduction, exercise, and sleep strategies for lasting results.
Medications
Using GLP1 agonists eg Mounjaro or Wegovy in a sustainable way, to optimise physical health whilst achieving weight loss.
The Solutions to Sustainable Weight Loss
what to expect
During your consultation, Dr Nirusha will:
Step 1
Assessment
Assess your health history, lifestyle, and weight-loss goals.
Step 2
Testing & Review
Conduct or review lab tests to identify metabolic or hormonal imbalances.
Step 3
Plan Personalisation
Develop a personalised weight-loss strategy focused on optimising your body’s natural fat-burning mechanisms.
Step 4
Tracking
Provide ongoing support to ensure you reach and maintain your goals.
Frequently Asked Questions
Menopause, metabolism and weight: why your body responds differently and what actually helps
Why do women gain weight during menopause?
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Does menopause slow down metabolism?
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Metabolic flexibility reduces due to hormonal change, loss of muscle mass, chronic stress, and poor sleep, rather than a simple drop in calorie needs.
Why is it harder to lose weight during perimenopause?
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Fluctuating hormones, cortisol dysregulation, sleep disturbance, and insulin resistance reduce the effectiveness of calorie‑focused dieting alone.
Is weight gain during menopause inevitable?
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Weight gain is common but not inevitable. Addressing hormonal balance, sleep, stress, and metabolic health improves outcomes.
Does HRT help with weight gain?
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HRT is not a weight‑loss treatment but may help stabilise fat distribution and metabolic balance in some women. Read more about HRT here.
How do stress and sleep affect weight?
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Chronic stress and poor sleep increase appetite hormones and reduce insulin sensitivity, making weight management more difficult.
What actually helps with midlife weight loss?
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Effective strategies prioritise metabolic health, strength preservation, sleep optimisation, stress regulation, and medical assessment rather than restriction alone.
doctor's note
Midlife weight change is biological, not behavioural. Sustainable progress comes from working with physiology rather than fighting it.
Explore Guides, Resources and Books by Dr Nirusha Kumaran
e-book by dr Nirusha Kumaran out now
Midlife Rebalanced®: Your Perimenopause Healing Guide
Reclaim your energy, hormones, metabolism, and confidence — without extreme diets or burnout.
The E-Book by Dr Nirusha Kumaran, out now on Amazon.
free guide by dr Nirusha Kumaran
Understanding Perimenopause: A Functional Medicine Approach
A practical, doctor-led guide explaining symptoms, testing options, treatment strategies and lifestyle adjustments to support hormone balance during perimenopause.
free guide by dr Nirusha Kumaran
PMS: Understanding, Managing & Thriving - A Free 5-Step Guide to PMS Relief & Resilience
A 5-step evidence-based guide detailing root causes of PMS, dietary and lifestyle strategies, and how personalised plans improve symptom control.
e-book by dr Nirusha Kumaran out May 2026
The Ultimate Guide to PMS: Understanding, Managing & Thriving
PMS isn’t just an annoying inconvenience, it’s your body’s way of telling you that something is out of balance. Your hormones, gut health, stress levels, and even your diet all play a role in how you feel before your period. But here’s the good news: once you understand what’s driving your symptoms, you can take back control.
Speaking Engagements
Are you searching for a speaker who offers unique perspectives on Functional and Longevity Medicine, hormone health, and the benefits of root-cause healing? Whether it’s a podcast, health summit, medical conference, or wellness panel, Dr Nirusha provides insightful, science-based talks that both inspire and educate.
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