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This is Dr. David
Minivelle is an estradiol transdermal patch which can cause fluid retention and blood pressure elevation and can cause glucose intolerance and weight changes as side effects
it sounds like you are in menopause or perimenopausal
you still need to get your thyroid hormone levels checked. low thyroid hormones can cause weight gain.
did you have your ovaries removed during hysterectomy?
you can get blood estrogen and LH and FSH levels checked to see if you are in menopause.
also blood AM cortisol and ACTH levels can be checked to see if your steroid hormone levels are normal.
the occasional night sweats is most likely a sign of menopause.
it sounds like the patch was most likely causing fluid retention
that is why 10 lbs came off quickly after you stopped the patch.
let me know if you have questions.