Unlike typical weight loss strategies, intermittent fasting focuses on when you eat rather than just what you eat. However, midlife brings metabolic changes, including fluctuating hormones that can dramatically impact how your body responds to these fasting periods.
Although intermittent fasting is a potential solution to weight management during perimenopause and menopause, understanding its potential benefits and risks before diving in is important.
What Is Intermittent Fasting (IF)?

Intermittent fasting alternates between periods of regular food intake and deliberate fasting.
Popular methods include the 16:8 method (fasting for 16 hours with an 8-hour eating window), the 12:12 approach (equal fasting and eating periods), and the 5:2 method (normal eating five days a week with calorie restriction on two non-consecutive days).
What makes intermittent fasting appealing is that it focuses on timing rather than calorie-counting. Explore an expanded version of our best fasting methods for weight loss here.
How IF Works in the Body
When you fast, your body gradually depletes its glycogen stores. But you still need energy, which is where your fat reserves come in.
Your body only taps into these fat reserves after 12-16 hours of fasting. The process triggers several beneficial changes, including reduced insulin levels, increased fat burning, and cellular repair mechanisms. During this process, your body also becomes more efficient at burning stored fat while giving your digestive system a much-needed break from having to burn and digest food all day.
Research has proven that your body benefits from spending a few hours every day not having to break down food and nutrients.
These metabolic changes can potentially help address the stubborn weight gain that you may be experiencing as you transition into your 40s and 50s.
Explore our article on how to boost metabolism after 40 for women here.
Why Women Over 40 Should Approach IF Differently
Physiologically, men and women are different. Your body responds uniquely to fasting, particularly during perimenopause and menopause.
Your body is more sensitive to energy restriction because it prioritizes certain hormones for reproductive function. Hormonal fluctuations during midlife can complicate fasting responses, making some standard fasting protocols too stressful for your body.
You must understand the right balance of when to eat and skip meals to avoid experiencing the unwanted side effects of fasting and get the most out of the scientifically proven positives of intermittent fasting.
Hormonal Shifts in Perimenopause and Menopause
Perimenopause typically begins in your early 40s, bringing the most dramatic hormonal fluctuations of your life since puberty. Explore our fasting in perimenopause article here.
It is during this time that your estrogen and progesterone levels start to swing unpredictably before going on an eventual decline. These changes directly impact metabolism, fat storage patterns (especially around the belly), appetite signals, and even how your body responds to stress.
The hormonal roller coaster can last 4-10 years before reaching menopause, making this transition particularly challenging for maintaining weight balance.
Fasting approaches need to work with these changes, not against them. Explore our article about fasting during menopause here.
Impact on Insulin, Cortisol, and Estrogen
Perimenopause changes how your body handles insulin, making cells less responsive and potentially triggering more fat storage, particularly around your middle section.
Fasting can improve insulin sensitivity, but too much fasting might raise cortisol levels, which can make certain symptoms like insomnia, anxiety, brain fog, and night sweats worse.
Your fluctuating estrogen also plays a key role in metabolism, appetite, and fat distribution. When estrogen declines, your body tries to compensate by storing more fat to help it produce more estrogen.
Muscle Loss vs. Fat Loss Considerations
By age 50, you’ll lose approximately 10% of your muscle mass compared to your 30s if you do not do the following:
- Increase protein intake
- Do strength training
- Become more active
If not done carefully, fasting can work against your body, accelerating muscle loss rather than targeting fat.
The good news? Science proves that resistance training helps maintain muscle tissue, among other things. Muscle significantly burns more calories than fat. It even burns fat when you’re doing nothing.
When you pair intermittent fasting with protein-rich meals and strength training, you’re doing yourself a favor by preserving and building muscle while targeting fat.
Potential Benefits of Intermittent Fasting in Midlife

Reducing calorie intake without counting calories sounds like a pipe dream, but it isn’t.
It’s no secret that going on a calorie deficit is the only way to lose weight. You can’t lose weight if you’re eating more calories than you burn. However, you don’t always have to track how much you’re eating.
Intermittent fasting can help you eat less and burn more, all without crunching down the numbers.
By going on intermittent fasts, your body is almost always in fat-burning mode, resulting in improved energy levels, better mental clarity, reduced inflammation, and a lowered risk for health complications related to high insulin and blood sugar levels.
Risks and Drawbacks of IF for Women Over 40
Fasting isn’t a bulletproof way to lose weight, especially if you’re over 40.
As we’ve previously mentioned, going on intermittent fasts alone can be counterproductive. We can also say the same if you go on extended fasting periods.
Hunger-induced sleep disturbances, for example, can add to your daily stressors, making perimenopausal and menopausal symptoms like night sweats and insomnia worse. You might even experience increased anxiety, irritability, and mood swings, if you fast too long, or don’t feed yourself the right types of food during your eating windows.
Subjecting yourself to prolonged fasting periods can trigger stress responses that make your body hold onto fat instead of burning it.
Signs that you might be overdoing your fasts are weight gain, extreme fatigue, hair loss, skipped periods, and worsening menopause symptoms.
Don’t wait for symptoms to get worse. Dial back on your fasting approach and be more gentle on your body.
Best IF Protocols for Women 40+
Starting with a more modest fasting window allows your body to adapt gradually without triggering stress responses.
Remember, your goal isn’t to lose weight fast. You want to find a sustainable rhythm that fits your lifestyle and supports your health goals. But also, what works during one phase of perimenopause doesn’t necessarily mean it will work just the same during menopause or even another phase.
Just like with any other diet, you’ll need to constantly adjust your approach based how you’re feeling and the results you’re seeing.
14:10 vs. 16:8 for Beginners
A 12:12 or 14:10 schedule often works better than jumping straight to 16:8.
Begin with a 12-hour overnight fast—for example, finishing dinner by 7 pm and eating breakfast at 7 am. This naturally eliminates late-night snacking without creating too much stress. Once comfortable, gradually extend your fasting window to 14 hours, keeping your eating window to 10.
Eventually, you can go on 16-hour and even 20-hour fasts with shorter eating windows.
This gentler, more gradual approach gives your body time to adapt to fat-burning without the cortisol spikes that can come with longer fasts.
Adjusting Your Window for Menstrual Changes
Your fasting tolerance changes depending on your cycle as well. You’re more tolerant of fasting and shorter eating windows after your period starts, while you’re more vulnerable to stress the two weeks before your period, especially the week right before.
During pre-menstrual days, try following shorter fasting windows or taking a break from fasting entirely.
You should track your monthly menstrual cycle to make it easier to identify your tolerance level throughout the month.
Flexible Fasting for Lifestyle Fit
Rigid fasting schedules rarely work long-term if you’re busy, active, and juggling careers, family, and self-care.
Instead of sticking to strict guidelines, aim for flexibility. You can fast 14 hours most days, but allow social dinners or family breakfasts to occasionally adjust your schedule. You can even try alternate-day approaches.
The key is finding what works best for you and your lifestyle instead of forcing yourself into a protocol that creates added stress and feelings of deprivation.
Comparing IF with Other Diet Strategies
Intermittent fasting represents just one approach among many for managing weight and health during midlife.
The most important factor is finding a sustainable method. Your needs will evolve as you progress through perimenopause and beyond.
Intermittent Fasting vs. Calorie Counting
Intermittent fasting is simple. Calorie counting isn’t. It’s tedious, requiring you to measure portions and log each bite.
Of course, calorie quality still matters just as much during your eating windows. Loading up on processed foods during your eating window can undermine the naturally reduced calorie intake benefits of intermittent fasting. You’ll want to eat whole, natural foods that give your body the macro and micronutrients it needs to function well.
Is intermittent fasting better than calorie counting? Not necessarily. You can even do both if you can or want. But intermittent fasting gives you the freedom from constant food tracking.
Intermittent Fasting vs. Keto or Low-Carb
While keto and low-carb diets focus on restricting carbohydrates, intermittent fasting only restricts your eating times. This makes it more flexible and easier to maintain long-term. You can still eat what you want, but it’s recommended to focus on healthier alternatives like complex carbohydrates, like sweet potatoes, oats, quinoa, and fruits, which help support female hormonal health.
Studies have shown that a sustainable diet allows for occasional indulgences. It’s even healthy for the body!
Combining IF with Strength Training
Pairing intermittent fasting with regular strength training creates a powerful combination for midlife health.
For best results, schedule your workouts during your eating window or just before you break your fast.
Although certain studies show that the difference is limited, there’s enough evidence that working out fasted does have certain benefits. Explore our article on fasted workouts specifically for women over 40 here.
This study found that even two to three weekly strength sessions can do wonders for your metabolism, body shape, health, and fitness levels, especially at age 40 and above.
Recap: Is Intermittent Fasting Right for You?

Fasting should feel sustainable rather than punishing, and flexible enough to accommodate life's natural rhythms. Always respect how your body responds to your fitness approach.
Summary of Pros and Cons
Intermittent fasting offers potential benefits including simplified weight management, reduced inflammation, improved insulin sensitivity, and better mental clarity. However, the downsides can include disrupted sleep, increased stress hormones, worsened hot flashes for some women, and potential muscle loss if not paired with strength training and proper nutrition.
The timing matters too. Fasting when you’re stressed, before your period, or on days when you aren’t getting enough sleep can do more harm than good.
Your body will tell you if whatever you’re doing is working for you, fasting included. Learn to listen to your energy levels, mood stability, sleep quality, and how your clothes fit. The scale should be the last thing you should worry about.
Personalized Guidelines for Getting Started
Begin with a modest 12-hour overnight fast, gradually extending to 14 hours as your body adapts.
Choose an eating window that aligns with your natural hunger patterns and social life for your eating window. Break your fast with protein-rich foods like eggs or Greek yogurt and healthy fats and fiber to stabilize blood sugar.
Stay well-hydrated during fasting periods, adding a pinch of salt to water for electrolyte balance.
Track your energy, sleep quality, and menopause symptoms alongside your fasting practice so you can make the necessary tweaks and changes when necessary. More importantly, create a journal. Take note of how different fasting schedules affect your body. This makes it easier to refine your approach.
Resources to Learn More
Your healthcare provider should always be your first stop before starting any new eating pattern, especially if you take medications or have existing health conditions.
You should also consider the following additional resources:
- "The Intermittent Fasting" is a podcast hosted by Melanie Avalon that offers female-specific guidance.
- “MenuPause” is a recipe book written by Dr. Anna Cabeca that provides hormone-friendly fasting protocols.
- Reverse Health for guidance specifically designed for women over 40
Always remember that fasting should support your way of life. It shouldn’t be another source of stress.
Sources
- He, Zhangyuting et al. “Intermittent fasting and immunomodulatory effects: A systematic review.” Frontiers in nutrition vol. 10 1048230. 28 Feb. 2023, doi:10.3389/fnut.2023.1048230
- https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/intermittent-fasting/faq-20441303
- K Nair, Pradeep M., and Pranav G. Khawale. "Role of Therapeutic Fasting in Women’S Health: An Overview." Journal of Mid-Life Health, vol. 7, no. 2, 2016, p. 61, https://doi.org/10.4103/0976-7800.185325.
- Isenmann, E., Kaluza, D., Havers, T. et al. Resistance training alters body composition in middle-aged women depending on menopause - A 20-week control trial. BMC Women's Health 23, 526 (2023). https://doi.org/10.1186/s12905-023-02671-y
- Vieira, Alexandra Ferreira et al. “Effects of aerobic exercise performed in fasted v. fed state on fat and carbohydrate metabolism in adults: a systematic review and meta-analysis.” The British journal of nutrition vol. 116,7 (2016): 1153-1164. doi:10.1017/S0007114516003160
- American Physiological Society. "It's OK to indulge once in a while, study suggests: The body adapts to occasional short-term overeating." ScienceDaily. ScienceDaily, 25 April 2019. <www.sciencedaily.com/releases/2019/04/190425133037.htm>.
FAQs
Is intermittent fasting effective for weight loss after 40?
Yes. It supports insulin sensitivity, fat loss, and appetite control, especially during perimenopause and menopause.
What’s the best intermittent fasting schedule for women over 40?
Start with 12:12 or 14:10. Ease in and adjust based on energy, sleep, and hormonal feedback.
Can intermittent fasting mess with hormones in midlife?
It can if overdone. Gentle fasting, paired with proper nutrition and rest, supports rather than stresses hormones.
What should I eat after fasting to lose weight?
Break your fast with protein-rich meals, healthy fats, and fiber to fuel metabolism and muscle maintenance.
How long does it take to see results with fasting after 40?
Many women notice changes in energy, appetite, and weight within 2–4 weeks of consistent, hormone-aligned fasting.