I am in the midst of menopause, age 55, and have been on HRT 1.5 years, which is working well to relieve hot flashes and accompanying anxiety, brain fog, foul mood, low libido (period had about stopped, but the flashes and anxiety were killing me). Of course I gained 5 lbs in a year of HRT and nothing would change that, even running more, careful eating. One week in on the LCHF, I started a very light period which has continued to today (2.5 weeks in) even though I continue to take the HRT. Given the expense of the HRT and my general misgivings about HRT, and some of your hopeful posts about keto helping with menopause symptoms, I am going to discontinue it and watch what my body does on this new WOE. I can deal with some weird spotting and occasional periods as long as I feel good (no bad cramps, minimal hot flashes, no anxiety surges -- these I will not tolerate!) I will update this if I find anything helpful to post here, or perhaps start a separate thread for us transitioning ladies specifically on this topic!