Diagnosed at 33, new provider, put me on Xulane six months ago and I gained 10 pounds. How to advocate for myself at my appointment next week?

I was diagnosed with POI after losing my period for a full year as well as hot flashes and night sweats when I was 33. I struggled with infertility in the years prior before having my only child.

Now two years later, I have moved to a new state and have a new OB/GYN. She switched me from nextellis to xulane as I asked to confirm, I was on the best possible treatment options. My biggest concern will always be preventative care for aging. I want to get ahead of menopause because I am young and fit and bone and brain health are Paramount to me.

Fast-forward six months and I have gained 10 pounds and have less energy than ever before. I don’t want my weight to be the thing that keeps me from being my healthiest, but as a millennial woman, my body dysmorphia is one of my biggest mental health struggles.

I understand that the hard science behind hormonal, birth control, and weight gain is a bit murky, and I wanna make sure I advocate for myself in a way that is clear and concise. Has anyone switched to a treatment option that is either weight negative or neutral and has alleviated other symptoms such as brain fog?