Estrogen is converted from testosterone, and most of this conversion (or the fancier word: aromatisation) happens in the fat tissue. So naturally, a higher body fat equals more fat tissue to make this conversion happen.

The resulting imbalance between testosterone and estrogen can contribute to symptoms like weight gain and changes in mental health. As for hot flashes, a high body fat mass can prolong them for 20+ years.

This imbalance isn’t just relevant for menopausal symptoms. It has broader implications for bone health, the cardiovascular system, and metabolism.

Now, hormonal changes are complex and influenced by various factors, not just body fat.

But this is something to keep in mind.