HRT and Weight Gain | Ask Dr. Susan - LIVE 

This has been a very interesting and helpful video for me. I started hrt in september 2022, and within 2 weeks i saw and felt that i was fatter than before, a good dress size. The gp had just given me a standard dose, she hadnt listened to my symptoms because she kept asking if my hot flushes had improved, but i had never had hot flushes, and i had told her that. Everyone and my research, said it was because i wasnt doing anything, no exercise, eating worse - but i hadnt changed my lifestyle at all except for taking hrt. I have been put on estrogen gel 2 pumps at night, and i have a merena coil for the progesterone. If i've understood this right, i think i'll trial less estrogen. This is the first video i've seen where someone has acknowledged that we might put weight on due to hrt, instead of just blaming us. Thank you.

I had lost 63 lbs i strted the hrt both estro and prog and gained almost 16lbs in 2 months. I went from having no appetite and losing weight to hungry all rhe time and bloated. Im quitting it its winter here in canada so it helps alone w hot flashes. I strted to sew if helped my leg pain constant joint pain to i cant move it pains so much but it hasby helped. Im pissed off was hoping for the miracle lol it did help e alot of the craziness and sleep etc. But i cant afford the weight gain and water retention.

I'm so grateful to find this video! I was told that there was no weight gain associated with progesterone and estradiol patches. Since I started in June, my face always looks bloated, and I've put on weight. :(

This helped me tremendously! This was my story. I swole terribly and I was hungry all day and night. So I gained from overeating.

Thank you! I have gained over 20 pounds in just a few months and I live a healthy lifestyle since starting HRT

I went into early menopause back in my 30’s. I am 50 now and didn’t have any symptoms of menopause. I didn’t start hormones until 2 years ago to prevent bone loss. But I also gained close to 20 pounds. I am the heaviest I have been since I had my youngest child. Mood swings and intermittent spotting is the worst. It’s miserable to be in this situation. I think I was better off the HRT.

Thank you for acknowledging the weight gain! I keep hearing that hrt isn't the cause! No other explanation if it happens right after starting treatment.

I just talked to my new provider about my weight gain, and she said. Well, it sounds like you were better off without HRT. Maybe you shouldn't be taking hormones if you felt better before taking them. I went from 115 lbs to 153 in a year and a half ! My sleeping is still 4 hours or less. I'm lethargic in the mornings and have a difficult time with a fogy brain. Then I hit a wall about 10 am and feel like I need a nap but can't take one. I had a complete hysterectomy at age 27, I haven't used HRT for decadeuntilll nearly 2 years ago. I just moved out of State and had to find a new provider.

On HRT for 2 months now: I gained 4 lbs and my weight was stable for the past 30 years, I also exercise almost every day. Estrogen triggered the uncontrollable cravings I had when I was in my 20s and 30s. I am now hungry late at night, which hasn’t happened in decades. I am on a low dose - 0.0375 patch. I also did not have any bothersome menopausal symptoms, I just got on HRT after reading about the long term benefits for preventing disease. I am starting to think it’s not for me.

I realize this is from a year ago but did you ever do a Q and A on different delivery methods and weight gain? Been on creams for 15 years… switched to the Doti patch and gained 4 lbs.

This was extremely helpful. What is the amount needed to protect the heart.

Did the caller ever update on what happened? I also am struggling with weight gain from being on progesterone and testosterone

I just had 1 testosterone pellet and have not slept in two days since.

I’ve felt better mentally on estrogen patch but the weight gain and my huge stomach is awful. I am already considered obese so had no room to gain more. I’m so sad that I’m going to have to stop taking it. I have no choice. Maybe once I lose the weight I will get back on it but I need to lose 80 pounds. Yikes.

I gain weight rapidly within days of oestrogen like massive swelling all over body due to histamine issues. I need very high dose of progesterone to inhibit the histamine

Thank you for your video. It is very interesting. I have a question I started on estradiol 50 after 3mths it was increased to 75 and after a couple of 2weeks, My stomach was bloated l look 3-4 months pregnant because of bloating. Please advise!

This is exactly what I needed! I recently had the pellet inserted, and in 4 weeks gained 10lbs! I thought since I feel so much better I would just have to suck it up! Now I know to tell them to reduce the estrogen, should I have the testosterone reduced as well?

Thank you for all your amazing help. Do you recommend compounded HRT versus pharmaceutical bio- identical to prevent the major three diseases? I appreciate so much your answer.

Finally, thank you!!

These comments are scaring me. I'm waiting for my hormone cream to be delivered, but now I'm not sure i want to use it I've lost 16 lbs recently and I sure don't want to gain it back.

Most women don't have enough estrogen in menopause. Compounded doesn't work. Estradiol is what your body makes when it has estrogen. And it was my thoughts and research, that not enough of this, is what causes weight gain. Especially when our Estradiol is basically at 0 in menopause

THANK YOU

What would cause new onset glucose intolerance when starting BHRT: 2.5 bi-est (every day) and 200 prometrium (12 days per month)? I wear a continuous glucose monitor (Libre) and ever since starting BHRT, 2 months now, my fasting will not come down. My A1C went from 5.5 to 5.9. Too much estrogen or too much progesterone? Is bi-est not strong enough to counter progesterone? Could either or both increase cortisol?

I had a hysterectomy in 2013 but for years I continued with hot flashes but was never given hrt. Ten years on last week I saw my g p . I had lost weight due to diet and felt better but I had depression brain fog etc. was given oestrogel two pumps and I weighed myself today and I’ve put sendin pounds on overnight. I’m gutted I’m feeling so much better mentally but now I’ve gained weight should I go down to one pump daily or will my weight continue to rise I’m so disappointed

I gained too. It does even out. I am on my fourth treatment in November. They determined I had too much estrogen. They kept me on the same testosterone. I am a little irritable and have headaches. I want to share this video with my provider/nurse pracitioner. Thoughts?

Libido is at zero, what can I do? Taking estradiol and Progesteron pill.

I have been on hrt for 4 years. My level of testosterone is just under 200 now and when I started it was 20. I feel amazing and have since starting. I’m plant based vegan and eat no sweets for 2.5 years. When starting my vegan lifestyle I lost 18 lbs. slowly I have almost gained it all back. Without really changing anything. I feel like hrt has cause me to develop pcos as well. Could this be true? I can not loose a lb no matter what I do. So frustrating but yet I feel amazing and the past years on hrt my marriage and sex life is amazing. I don’t wanna change that either. Idk what to do

Hi, I just started 3 days ago with E, P and T. I have noticed an immediate weight gain. My stomach is extremely bloated. I decided go had creams so I could stop them immediately if anything was going wrong. Right now I’m on a really low dose to ease myself into it. I feel much much better but now how do I stop this bloat? Thanks!

Me to I was fit happy with my weight I went on the estrogen and testosterone shots low dose. 5 weeks later and iv gained 7-8 pounds I’m so pissed. I’m off the shots now and hoping I lose. My doctor had no answers 😡

I myself gained weight . I just stopped taking the testatone. .

I just started using the estrogen patch 8 days ago. I have no uterus. On 0.25 strength. I have worked out 5 days a week since my twenties. I am 51. Never had weight issue. Noticed weight jumped 5 lbs, and i feel hungry all day and night. I never feel like that. Is this normal, will this pass.

Do I need testosterone added to my hrt of estradiol and progesterone?

I gain 25 pounds supper frustrated 😩 .

i gained weight on oral estradiol n testosterine injections, now i went back to compound cream estradoil/testosterone. can it be the deliver system?

I just started trt 6 weeks ago , 1.5ml injection a week. I am not losing a thing . I’ve gained 5 lbs . I went down on my estradiol patch lowest patch. 100 mg progesterone daily . My total t level at 6 weeks was 299 . Free t is 6 . Why am I not losing weight?

Is it the estrogen or the progesterone that causes extreme bloating. It is so severe my kidneys hurt and can barely sit down with huge belly. I have changed dose and types so many times. .5 weekly patch and 100 micronized bio progesterone.Miserable and can’t stand it anymore.

I am currently on transdermal oestrogen with micronised progesterone tablets. I have also tried combination oral tablets. I have put on weight with both. I am 1.5 x dress size as a result. When I went throug

great content! I have the same problem with the weight gain !! what is the lowest dose of estridial and progesterone ? what's the ratio?

so how to lover her dosage ? remove the pallet? how? please explain when pallets need to be removed.. thank you 😊

We dont have pellets or tailor made bhrt in my country. How to reduce estradiol dosage with patches ??

This video helped alot! Thank you 😀

Bhrt is absolutely responsible for weight gain. Just horrible!

Do you have a discussion of stage 4 endometriosis leading to total complete hysterectomy at 50 and HOW soon after can you start on HRT? 🤔 🤔 🤔 🤔 🤔 🤔 Because, guess what endometriosis can come back! 😮😮😮😮 And then LOSE 20kgs! Can BHRT help?

Did she ever call back tho

My insurance will most likely not pay for the pellets would you recommend a patch?

i only feel a little better,BUT AFTER 3 MOS IVE GAINED WEIGHT AND I WORKOUT MY STIOMACH HAS become so big that I'm GOING OFF THESE PILLS ! AND WILL NOT BUY EVER AGAIN ..I WAS SUPPOSED TO LOSE WEIGHT IVE WAITED IT OUT 3MOS LIKETHEY SAID ,,,,,IM NOT SEEING THE BENEFITS ONLY GETTING UP IN THE MORNING WITH NO ACHE OTHER THAN THAT IM STILL TIRED WITH NO ENERGY SO IVE WAISTED 3MOS OF MONEY IM STARTING TO THINK THIS IS A PIOZYSCAM,,,,I WENT THE DRS AND THEY TOLD ME I WILL NOT LOSE ON BIOIDENTICAL HOJRMONES PERIOD! WHEN I GO TO THE HORMONE DR THEY SAY I WILL ITS 3MOS IM DONE HOW CAN THIS BE AS MUCH AS I WORKOUT BUT MORE TIRED FROM THIS BULLSHIT,,,,IF I AM BEING LIED TO,,,THEN IM GLAD I FOUND HOW BOUT IF I GOT A BLOOD CLOT AND DIED!!!!!!!!!!!AT65,,IM SO THIS DIDNT WORK AT ALL HOPE THIS WEIGHT COMES OFF THIS WAS A RIP OFF AND ILL BE CALLING FOREVER YOUNG MONDAY MORNING! FONE

My progesterone is 32.3, my estradiol is 78.6 and my testosterone is 22. I feel great, but I have the problem that I have gained 10 pounds especially in my belly, that I have never had before. I just switched the estradiol pills to patches 0.05. I have heard that the fat belly means that my estradiol is low, so I am not sure what to do. I have heard that my P is high compared with my E, even though I am sleeping so well. I have tried to increase my testosterone but when I do that, I noticed I lose more hair.

Do you prefer one technique better than others? I always used cream now trying trockie

I don’t know what they mean about pellets ! Pellets of exactly what ? Be specific !

May I ask what pellets are? Do you mean the utrogestan? Or do you mean patches?

What if you gained weight on the testosterone cream ?

Nutrition and exercise are also factors... ❤

Isn’t it the progesterone or testosterone that causes weight gain? Never the estradiol ?

Could it be that estrogen effects the thyroid. When I fast and eat low fat and cut out alcohol my symptoms of weight gain got better before I took HRT. I have put on weight with HRT but I think its because I stopped what I did before. The progesterone has been amazing but the estrogen alone was making my skin and hair dry and possibly might have contributed to weight gain. I only use a small dose of estrogen and progesterone as i just coming out of perimenpause having two periods in a year. Since taking the hrt for 5 months I have had no period which has been great for my bipolar because I had horrible PMS with memory loss and depression

hi Medam I am hasan i ask you information weight gain men.?

Carnivore

Is the weight gain from muscle building naturally ?

i gained weight on oral estradiol n testosterine injections, now i went back to compound cream estradoil/testosterone. can it be the deliver system?