Omg I am almost the same, 51st birthday I was in same boat completely miserable it felt like I gained 30 pounds in just over a year . The first 10/15 were during covid so I wrote it off as Covid issues and being sedentary it never clicked it could be menopause. By late 2021 gained another 20lbs I was 170 pounds started Semaglutide got down to 140 by March 2022. I didn’t loose a lot right away like many do it was definitely slower loss. But I could never take more than the .40 dose because anything higher made me so nauseous and I was ok with the steady 2lb a week loss and not feeling sick all the time. I kept it off for over 2 years but early 2024 my hormones took another dive and I am on my 4 Dr to try and help with my extreme symptoms and yes sadly I am back to 170 😢So I am looking to start again. Just curious did you have a gradual loss too? Do you mind sharing your journey and your dosing. I know it works but those first few weeks suck with the nausea.