Why can't I lose weight during perimenopause even with diet and exercise and Vyvanse?

Personal experience only. Vyvanse blunted my appetite in my thirties, but in peri the belly fat stayed even with walks and tracking. HRT helped sleep first; weight changed slowly after that. I started tracking this because daily life got messier, not because I wanted a new protocol from a forum. Missed alarms, late meals, and poor sleep all sat on top of the hormone piece. I asked for a joint review rather than experimenting at home. I still use evidence-based ADHD treatment. Personal experience only.