I'm sorry that I don't have any help to offer, but if anyone thinks that HRT doesn't cause weight gain, I can categorically state that it does! Obviously it's not the case for everyone. I used 2 pumps of Oestrogel alongside Utrogestan, and gained about 10 pounds in 10 weeks. 😬 As it hadn't helped in the slightest to improve my fatigue, brain fog and other troublesom symptoms, once I realised how much weight I'd put on, I stopped it. There was no change in my appetite, diet or exercise, and although I'm overweight, I'd never normally gain anything like as much as that so quickly. It really annoys me when people insist that medications don't cause weight gain - you only have to look at the poor people on heavy duty medications for severe mental health problems - antipsychotics for example, to see the weight gain they induce. Some people are lucky and don't gain weight with certain medications, but very many do.