Weight Loss for Seniors Over 65

Yes. Metabolism slows, muscle mass declines, and activity often decreases with age, making weight loss harder after 65. Hormonal changes and medications can also play a role. Success comes from combining adequate protein, strength training, and a modest calorie reduction rather than aggressive dieting.

A safe pace is about 1 to 2 pounds per week, guided by a doctor. Faster loss increases muscle and bone loss and nutrient deficiencies. The total healthy amount depends on starting weight and health conditions, so personalize goals with a physician rather than chasing a fixed number.

A mix works best: resistance training two to three times weekly to preserve muscle, plus low-impact cardio like walking, swimming, or cycling. Balance and flexibility work reduce fall risk. Always start gradually and check with a doctor before beginning a new exercise program, especially with chronic conditions.

Some seniors may be candidates for prescription weight-loss medications, but these carry risks and interactions that matter more with age. Only a doctor can decide if they are appropriate after weighing health conditions and other medicines. Never use weight-loss drugs or supplements without medical supervision.

Medicare covers obesity screening and behavioral counseling for qualifying beneficiaries, plus Medical Nutrition Therapy for diabetes or kidney disease. It does not cover gym memberships directly, though some Medicare Advantage plans include fitness perks. Call 1-800-MEDIGAP at 1-800-633-4427 to learn what your plan covers.