You are right there are a lot of uncertainties… particularly for women, particularly for women with hormonal issues and or at critical hormonal changes.
It’s hard and what works for one person may not work for the next. The thing is, there is uncertainty about that on or off keto. You won’t get certainty out there either.
Keto is not just about weight loss, it’s about physical and mental health. Give it a little more time and notice any other benefits you find.
Total cholesterol is not a great measure of health so you might want to investigate the break down of your levels, HDL should go up, LDL might stay the same of go down and triglycerides might go up for awhile while you loose weight then go back down.
I realise Keto is a process, an exhausting one to begin with, but imagine knowing exactly whaat foods work for you and being totally in control of your eating and energy, imagine trusting your body as a friend… yea that’s the outcome of keto.
Given that there are some things to try that women in specific seem to find helpful
-Estrogen control-
Cut the dairy and eggs, flax, soy and nuts for awhile to reduce phytoestrogens.
-Tapering down your protein-
protein spikes insulin about half as much as sugar so if you are consuming too much it could be a problem.
-Eating too frequently- no matter how well you eat, frequency matters, everytime you eat you raise insulin, insulin stores fat. Starting with 3 meals and no snacks and tapering down as you are comfortable to do so could be helpful.
Fasting- carefully, gradually trying IF and EF can be beneficial once you are sure you are adapted. PSMF is a protein based fast that some people find useful.
I have personally settled on frequent extended fasts as I get alot of weight loss and autophargy BUT for some people (women especially it seems) this can decrease your Basal Metablic Rate and slow down progress so be careful and if you choose fasting watch for signs like feeling cold, tired, lacking energy, loss of mental focus. MAke sure you eat enough between fasts.
You may be able to boost your Basal Metabolic Rate with Omega 3 supplimentation also. Keep going, it’s worth it… but it takes patience.