This topic grabs my attention too. Next week I've got a doctor's visit lined up to talk about hormone replacement. All this perimenopause stuff has worn me out.
I recently came across a medical article covering studies from Mayo Clinic and Johns Hopkins. It indicated that women struggling with stubborn weight gain and belly fat during peri and menopause got better results when GLP-1s were used together with HRT. For those already on both, do you expect to keep this combination going indefinitely, or do you worry that stopping the GLP-1 will let menopausal weight gain return even if you stay on HRT?