Plateaued, now what?

Yes I am dieting and lifting regularly. Greek yogurt with blueberries in the morning, high-protein lunch in a small portion, high-protein dinner, and maybe a cheese stick snack midday. Gym four or five days a week doing weights, though I need to add cardio. Weight has stayed within two to three pounds for about two weeks. Moved from 4 mg to 5 mg a little over a week ago. Only side effect noticed is feeling cold all the time and needing new clothes because the old ones are loose. Water weight is a bit higher but not much. I am 42, 195 pounds at 26 % body fat, and also on TRT plus HGH.

When you say you exercise, what does that actually involve? It needs to be intense and include weights if you are not already doing that.

Same thing happened to me when I went from 5 mg to 6 mg. A couple weeks later the loss picked back up.

I do progressive overload lifting to failure on a PPLUL split and sometimes hit the heavy bag at home with Fight Camp.

Your routine sounds solid and plateaus happen with or without these meds. Three things that helped me: weigh yourself once a week or less because daily numbers fluctuate and can mess with your head. If you track calories and are in a deficit, your body adapts, so try cycling intake within the week, like two days at 2200 and one at 1500-1600 if your target is 1800. Also, add plenty of fiber daily, especially on a high-protein plan with a GLP. Swap some dairy or meat protein for plant sources and try quinoa instead of rice for both protein and fiber. That helps keep things regular.

Light cardio helps too. A couple miles jogging on rest days adds variety without going overboard. Many lifters focus only on weights, but balance seems better for overall health and still lets you build muscle. Look into the 5 Tibetan Rites, a short daily stretch routine of about 15-20 minutes that is one of the oldest exercise systems around. It is simple, a bit unusual, but effective and fits with everything else you are already doing.