Sorry in advance to the gentlemen in the room!

I had a hysterectomy two years ago and it put me into peri-menopause. I'm 40 years old. I'm on HRT and wear the vivelle dot patch.

I had my sleeve done one month ago, and this past week I'm having hot flashes and trouble sleeping. I've lost 30 pounds total in the 6 weeks since i started the pre-op diet. I wonder if I need to change my patch dose? Or is it the hormones from the surgery?

Anyone have experience w/ this???

I don't have any experience per se, though am post menopausal, went into menopause surgically at 46 and used patch then oral HRT from 47 to 51... And now have liver adenomas (benign tumours) "probably" due to HRT use. I wanted to say though that the low carb, low calorie diet most of us are on has an effect on the liver AND, as my Adenoma experience has shown me, so does HRT. Perhaps unrelated but worth exploring just in case??? Good luck.