.1 mg estradiol patch question

I am 59 and have been in HRT for about four years now. I went on after menopause due to poor sleep, joint pain, hair loss, and weight gain. It helped me with the first two symptoms. I started at .05 mg and after pushing my gynecologist very hard eventually she agreed I could bump up to .075 mg to see if I got more relief. It did help me even more with symptoms 1 and 2 though not the other two. A year ago I went on a glp one and lost 50 lbs. Once I had lost about 15 percent of my starting weight I started having bad sleep again, especially waking up a lot and too early for the day. I also started getting frequent UTIs which was not typical for me. I went to a urologist who had me increase the frequency of my estrogen vaginal cream and that has helped. The sleep has continued to be a problem. I went back to my gynecologist asking to be put on .1 mg and got a lot of pushback. She kept saying, that’s the maximum dose, I don’t like to do that. She doubled my progesterone from 100 to 200 which didn’t really help since my issue is not falling asleep, it’s staying asleep and not waking up too early. I went back and said look I have lost 50 lbs, that must be affecting my estrogen, I really want to go up. She offered me to switch to daily gel and stay at my current dose. I said I didn’t want to do that because I had read it can make your mood fluctuate and I have a history of depression so I don’t want to risk being less stable. At that point she finally relented and let me go up to .1 mg but it was such a fight. When I read this sub it seems like there are people whose drs have them to .1 mg or higher without a fight. Are these online drs? Is my dr out of the norm? It’s been really frustrating, I feel like I’m asking her for heroin. 😂 everything I’ve read about my sleep pattern suggests it deteriorated due to weight loss and I needed more estrogen not more progesterone. She is certified with the North American menopause society, I was hoping for more enlightened care, unless I’m wrong and it’s really hard to convince a dr to increase your dose.