Menopause and perimenopause weight management at Downscale

Downscale Weight Loss & Weight Maintenance Clinic offers evidence-based, judgement-free telehealth care for the weight and metabolic changes of perimenopause and menopause, led by Nurse Practitioner Justin Black, Australia-wide. We treat menopausal and perimenopausal weight gain as the hormonal and metabolic change it is, and we care for the whole person.

Woman living actively through menopause - Downscale menopause weight management

Menopause & Perimenopause Weight Management

Evidence-based, judgement-free telehealth care for the weight and metabolic changes of perimenopause and menopause, from our team of Nurse Practitioners, led by Justin Black.

The weight gain that arrives with menopause is not a willpower problem. We treat it as the hormonal and metabolic change it is, and we care for the whole you, with no bias and no stigma.

Why weight changes through menopause

As oestrogen falls through perimenopause and menopause, your body changes how it stores fat, uses energy, sleeps, and regulates mood. Weight tends to settle around the middle, muscle is harder to hold, and the strategies that worked in your thirties often stop working.

None of that is a lack of discipline. It is biology. Understanding the cause is the first step to managing it, and to keeping the results.

Perimenopause care at Downscale - support years before menopause

Perimenopause: you do not have to wait

Perimenopause can begin years before your final period. Cycles become irregular, sleep and mood shift, hot flushes start, and weight can creep up while everything feels harder to control.

You do not need to wait until menopause to get help. Earlier support means earlier answers, and a plan that fits the stage you are actually in.

Stay in the game

Our goal is not a number on the scale. It is the energy to keep up with your kids, your sport, and your life, and to feel like yourself again.

Woman playing soccer with her kids, staying active through menopause
Woman playing soccer with her kids, staying active through menopause
Woman playing soccer with her kids, staying active through menopause
Woman playing soccer with her kids, staying active through menopause

How we help

  • A full, personalised assessment of your symptoms, health history, and goals.
  • Evidence-based options for weight and metabolic health, discussed openly so you can decide what is right for you with your clinician.
  • Whole-person care: nutrition, movement, sleep, mood, and the conditions that travel with menopause.
  • Ongoing reviews through your patient portal, so you lose weight safely and, most importantly, keep it off.

Any treatment is a clinical decision made with your Nurse Practitioner, based on your individual circumstances. Eligibility and suitability are assessed during your consultation.

We care for the whole picture

Menopause rarely arrives alone. As part of your care we look at the things that change alongside it:

  • Blood pressure
  • Cholesterol
  • Sleep changes
  • Mood and anxiety
  • Hot flushes
  • Bone and muscle health
  • Brain fog
  • PMOS (formerly PCOS)
  • Thyroid concerns

Ready to feel like yourself again?

Book a telehealth consultation with our team. Australia-wide, judgement-free, and built around you.