Menopause Diet: Foods to Avoid and Smart Swaps for Wellness

Menopause Smart Swaps: A Guide to Better Food Choices

Menopause Smart Swaps: A Guide to Better Food Choices
Everyday Health
During the menopausal transition and afterward, it’s essential to focus on quality nutrition at every meal. This stage of life is associated with higher rates of obesity, metabolic syndrome, cardiovascular disease, and osteoporosis — and a consistently healthy diet may help prevent and combat those health conditions.

“Every woman experiences menopause a bit differently, but most do experience weight gain, especially around the midsection,” says Rosanne Rust, RDN, the author of DASH Diet for Dummies and the owner of Rust Nutrition Services in Venice, Florida. “Since most menopausal women require fewer calories, it’s important to ensure they’re getting the nutrients they need.”

A healthy overall dietary pattern is more important than following a specific diet at this stage of life, says Rust. Here’s how experts recommend menopausal women tweak their diets to manage the slowing metabolism, muscle loss, energy dips, and sleep disruptions that partially define this phase of life.

Common Triggers and Smart Swaps

Certain foods and eating habits can make it harder to manage weight, energy levels, and other menopause-related symptoms. These expert-approved swaps offer a simple way to improve the nutritional quality of your meals.

Swap Refined Grains for Whole Grains

Whether it’s quinoa for white rice, chickpea pasta for traditional pasta, or rye toast for white, adding more whole grains — and the fiber that comes along with it — to your diet “helps balance blood sugar, prevent mood dips, and provide long-lasting energy,” says Lyssie Lakatos, RDN, a cofounder of The Nutrition Twins in New York City along with her sister Tammy Lakatos Shames, RDN.

The dietary fiber found in whole grains can also help improve cholesterol and reduce your risk of obesity and heart disease, which you might be worrying about as you approach menopause.

Swap Deli Meats for Grilled or Pan-Seared Chicken

Protein becomes especially important during midlife, since hormonal changes associated with menopause can accelerate muscle loss and affect body composition.

 But not all animal proteins are created equal. “Fresh chicken is lower in sodium and fat than most deli meats,” says Rust. “A high-fat diet is associated with heart disease and some forms of cancer, and a high-sodium diet can elevate blood pressure.”
The decline in estrogen during perimenopause can increase your risk of insulin resistance, hypertension, high cholesterol, and accumulation of visceral fat.

 A low-fat, low-sodium diet can help reduce these risks.

Swap Skipping Meals for Veggie-Forward Meals

If you skip lunch or dinner you can end up running on empty, increasing the likelihood of energy dips, intense hunger, and overeating later in the day. Balanced, veggie-forward meals can help support steadier energy and make it easier to get the nutrients your body needs during menopause, including calcium, vitamin K, and magnesium that help build stronger bones, says Rust.

Consider adding leafy greens, broccoli, or asparagus to your meal, to name a few.

Swap Wine for Sparkling Water

Alcohol can be kryptonite for a good night’s rest, which may already be in short supply during the hot flash and night sweats stage of life.

 “As estrogen levels decline, we simply don't process alcohol the way we used to, which can worsen hot flashes and make weight gain easier,” says Lakatos Shames. “Sparkling water with berries in a beautiful wine glass still feels like a special treat, but it saves you from the empty calories and blood sugar dips that lead to sleep disruptions and anxiety.”

Swap Sugary Sweet Treats for Fruit

Candy is high in added sugar and offers little nutritional value, which can contribute to blood sugar spikes and crashes that may leave you feeling tired, irritable, or craving more sweets.

 Fruit can satisfy a sweet tooth while providing fiber, vitamins, minerals, and antioxidants.

 “If you have a sweet tooth, keep berries, grapes, watermelon cubes, or frozen fruit on hand for a sweet treat mid-day,” says Rust.
Graphic titled 'Smart Swaps for Menopause'. The left column details foods to limit: refined grains, deli meats, alcohol, and sugary treats. The right column suggests healthy alternatives: whole grains, lean chicken, sparkling water, and fresh fruit.

Smart Swaps in Action: Practical Tips

Healthy eating is built around the concept of making thoughtful food choices. These practical tips can help you identify how and where to start making that happen.

Start Simple

Rust says when you’re making the switch to healthier eating, you should make changes gradually, paying close attention to your hunger and appetite. Choose just one food or food group to swap each week rather than changing everything about your dietary strategy all at once.

“Batch cooking some items can also be helpful,” says Rust. “You could sauté several thinly sliced chicken breast pieces to add to salads or a wrap for lunch over the course of a few days.”

Read Labels

Knowing the nutritional information of the foods you regularly eat is the best way to keep track of how healthy your meals are. For menopausal women, pay attention to the calories per serving — making sure you take note of the serving size it accounts for.

If hypertension is a concern for you, look at the sodium totals. The American Heart Association recommends that people consume no more than 1,500 milligrams (mg) a day, and some packaged foods can come close to that number. For most people, cutting back on sodium by 1,000 mg a day can improve blood pressure and heart health.

Cutting back on saturated fats can also help prevent heart disease and keep your cholesterol levels in check.

The recommended daily value for women is 16 grams (g) of saturated fat.

Dining Out Strategies

It’s easier to stick to a healthy dietary plan while you’re cooking at home, but these tips can help you feel confident about your nutrition when you’re dining out, too.

Plan ahead by thinking about these strategies before you order.

  • Ask how the food is prepared, so you can avoid fried foods or those doused in heavy sauces.
  • Plan to eat half of your dinner and take the rest home to eat for lunch the next day. Ask for a box ahead of time, if it helps keep you on track.
  • Order an extra side of veggies to help fill you up.
  • Plan ahead and read nutrition info (if available) before you get to the restaurant.

A Day of Smart Swaps: Your Blueprint

Knowing which foods to choose is one thing, but seeing how those choices fit into a typical day can make healthy eating feel more approachable and achievable.

  • Morning: Swap white toast with butter for whole-grain toast with cottage cheese, grape tomatoes, and everything bagel seasoning. “This change gives you more fiber, protein, antioxidants, and it’s more balanced for protein, carbohydrates, and fat,” says Rust.
  • Lunch: Swap a deli meat sandwich for grilled chicken and vegetables. Chicken breast only contains 82 mg of sodium per 3.5 ounces, about the size of a deck of cards,

     while sliced ham contains 884 mg per 85 g serving (approximately 6 slices).

  • Dinner: Swap 2 cups of traditional pasta for a half cup of whole-grain pasta with chicken and mushrooms. It lowers the calories, boosts the protein, and provides more fiber.

  • Snack: Swap processed sweet treats for blueberries. Candy is high in added sugar and offers little nutritional value, while fruit provides fiber, vitamins, minerals, and antioxidants that support overall health.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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  10. How Much Sodium Should I Eat Per Day? American Heart Association. July 15, 2025.
  11. Corliss C. What’s Your Daily Budget for Saturated Fat? Harvard Health Publishing. November 1, 2021.
  12. Tips for Eating Healthy Away From Home. Harvard Health Publishing. October 20, 2023.
  13. Visualize Your Portion Size. University of Rochester Medical Center.
  14. Chicken, Broiler or Fryers, Breast. U.S. Department of Agriculture FoodData Central. April 1, 2019.
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Reyna Franco, RDN

Medical Reviewer

Reyna Franco, RDN, is a New York City–based dietitian-nutritionist, certified specialist in sports dietetics, and certified personal trainer. She is a diplomate of the American Col...

Cathy Garrard

Author
Cathy Garrard is a journalist with more than two decades of experience writing and editing health content. Her work has appeared in print and online for clients such as UnitedHealt...