I spent 3 years trying to fix my health the wrong way. This is what finally worked.

If you're eating less and exercising more but the scale won't move — or keeps going the wrong direction — your biology may be working against you. These are the signs that willpower isn't the variable.

I started HRT at 44 for perimenopause symptoms. It worked — but the weight still wouldn't move. Adding a GLP-1 program six months later was the piece I didn't know was missing.

I knew everything about GLP-1 medications. I had three programs bookmarked. I just couldn't make myself fill out another long intake form. Here's what finally got me to start — and what happened after.

At 43, I was eating less, exercising more, and gaining weight anyway. Two doctors told me to try harder. A 45-minute intake with Silhouette MD told me something completely different.

I wasn't depressed. I wasn't falling apart. I was just completely, quietly burned out — and I'd been calling it 'tired' for two years. Here's what changed when I finally talked to someone.

We ran real intakes through every major online HRT clinic for perimenopause and menopause. Here's the honest 2026 ranking — physician quality, protocol design, insurance options, and real monthly cost.