Dizziness and weight loss

[Sunshine2026]

So, not too sure where to start, but wanted to come on here as thought, Im sure someone on here has felt the same or going through the same (she sits here fingers crossed).

Im 51, was put on HRT last Sept, due to dizziness, anxiety was mental, hot flushes, depressed, palpitations and just generally feeling odd like I was someone else walking around being someone else.

So that was it after taking many supplements like menopace, other vits etc, nothing worked, I thought right get onto the HRT.

I was put on 2 pumps of estrogen gel and 200mg for 14days on and off. Boom all symptoms pretty much gone. I was feeling great. The palpitations came back when I had 14 days off, so realised I had to continue taking them everyday and the palpitations have gone but lessened the dose to 100mg a night.

In a year I have lost a good stone, hmm I have had a lot of stress in my life and just been more edgy, but the worst was the dizziness and the blood sugar drops, so I think this might mean I need to increase my HRT as the estrogen absorbs body fat and at size 6, I dont have any really!

Anyone shed some light or had to up their dose?

Hoping this resolves the dizziness as its this in itself which is really stopping me from doing everyday things I love.
thanks everyone x

You need to see your Dr as internet reassurance and or misdiagnosis isn’t sensible.

you need to go back your GP or practice nurse and not be changing your dosage without their advice!

You're already lean and that level of weight loss without trying warrants further investigation. You need to see your GP.

Why are you adjusting your dosage yourself?

Unexplained weight loss and dizziness needs checking out. You could have diabetes, hypotension, thyroid imbalance or Addison’s. See your GP.

Sounds like a histamine reaction due to higher oestrogen.. happened to me when my natural progesterone stopped. Anxiety was crazy! Racing heart etc., oestrogen added to the mix made it worse. And my body didn’t like the progesterone either! Look up low histamine diet. It works. Maybe look into less oestrogen with 100mg of progesterone every day. See how that goes.. you might not be clearing the oestrogen effectively and it starts to build up. Then sets off all your mast cells and creates histamine imbalance and then you feel dizxy, low blood pressure, inflammation and your body just can’t clear it out quickly enough especially if you eat high histamine foods.

@Sunshine2026 PPs are right- weight loss without eating less (etc) needs investigation.

Diabetes, a bowel or a thyroid issue can cause weight loss and you should see your GP.

so I think this might mean I need to increase my HRT as the estrogen absorbs body fat and at size 6,

Where have you read that? Estrogen doesn't absorb body fat.

It's unlikely to be the HRT especially as you have stayed on the same dose for a while (but make sure you're using the Utrogestan at bedtime as a side effect is dizziness.)

Hi, so yes I take Progesterone at night as well, when I was having 14 day breaks I would get palpitations but now I take it everyday etc and its all good, I have been checked for everything diabetes, thyroid and its just me and my eating I have changed my diet hugely in the last 6 months hence me losing weight and had a lot of stress too its what I have been doing nothing health related.

So this is what my doctor was saying when I first went on HRT re the fat cells:

So weight loss changes your hormone levels—and potentially your vestibular balance—through two entirely different biological mechanisms:

1. The Loss of Stored Estrogen in Fat Cells

Fat tissue behaves like an endocrine organ; it naturally produces and stores estrogen. When you lose weight, you lose those fat stores, which causes a drop in your body's baseline, background estrogen levels.

• The Impact on Your HRT: Because your body is making less of its own background estrogen, your current menopause medication dose may suddenly feel "too low".
• The Impact on Your Balance: This sudden drop in overall estrogen can re-trigger menopausal symptoms, including the vestibular ear off-balance sensations you are experiencing.

Fat (in women) can be a precursor to estrogen production.

This is why women who are overweight have a higher risk of female cancers - eg endometrium and breast cancer.

But feeling dizzy etc - do you need to see an ENT specialist to have your ears looked at? Is this vertigo?

Or a cardiologist?
Have you been taking your BP at home to check it?

Palpitations and feeling dizzy are symptoms that need investigating.

Losing a stone gradually shouldn't make a huge difference to your estrogen levels when you are supplementing it at the same time with hrt. It's not like someone who has lost 4 stones. A stone in 12 months is around a pound a month- very slow weight loss.

You could be very sensitive to micronised progesterone and maybe the first thing to do is change that to some other type? There are plenty to choose from.