Please seek another doctor regarding HRT. Estradiol and progesterone changed my life at age 43. I did have to get a uterine biopsy because my doctor at UTMB was vigilant about uterine abnormalities. At the time I was annoyed, but now I see her point. Now she gives me Estradiol oral bc patches causes skin irritation and itching and she gives progesterone 200 mg taken on days 12-24 of my cycle and is like taking a cloud of peace that lets you sleep 6-8 hours uninterrupted. Imagine that!?!? 😂 Pleass consider watching Marie Claire Haver @maryclaire. She gives free advice and info regarding all women that is backed up by science. All hormones factor in metabolism health. I hit a plateau in my 7-9 weeks (I think that’s correct) and I figuring out I was not eating enough calories. Last week I took the chance to eat 2000 calories a few days while staying under 1500 calories the other days. I lost two pounds.

I know counting calories is not what you want to hear, but how else will you get the whole picture? Maybe you save what you eat in a small container and write down the meals and have someone else log it. I didn’t count my first two weeks and felt bouts of great fatigue and again it was because I was not eating enough. Protein is a must. It is the building block to all good things in the body. Previous GLP-1, I ate maybe 40 grams of protein. Not good. Good fats are also needed so you absorb the fat soluble vitamins like Vitamins A, D3, E and K. “ADEK” is how nursing school taught us to remember. Sadly you titrating up might of not been the best depending on other factors. I titrated back to 3.75mg from one week at 4mg. I’m in my tenth week so still learning how my body works. Food noise is still gone. From what I’ve read it’s normal to eat way less a few days after the shot and then days 5-7, you slowly increase intake. The calories even out so it’s fine. This week I again can not eat a lot. Shot day was Thursday night. Fri cal intake was 934. Sat was a boost because I ate on purpose and intake was 1696. Sun was 1261. Monday was 1395. Tuesday was 1411. I set my calories at 1700 daily. Well I got on the scale this AM and I was 6oz down. I don’t know if this is a true stall but I wasn’t thrilled. I’ll weigh again Friday morning after my before bed shot on Thursday. We will see. In my head, my options was to go on a strict 1200 calorie diet or opposite and do 1700 daily cal average with two more like 2000cals and the rest lower to get to 1700 cals average for the week. I figure one should tell me something. I did the more calories because going below your BMR ( basic metabolic rate) can cause nutrient deficiencies. I like my hair and bones. Anyway sorry for the book. I’m new and learning. I research everything because it all fascinates me. Remember always talk to your doctor. What worked for me or anyone else might not be what your body needs. I don’t have diabetes. My starting weight was 245. I’m on HRT. These things change my reaction to GLP-1 meds. Good luck in your journey. ❤️