You have described the symptoms more than once. Fatigue that does not improve with sleep. A flat mood that is hard to explain. No motivation, no drive, no real interest in things that used to matter. Your libido is gone. You are losing muscle no matter how consistently you exercise. Your labs come back normal. You are told it might be stress, perimenopause, or just the season of life you are in. Sometimes an antidepressant is offered. What almost no one checks is testosterone

If you keep asking yourself why am I not losing weight even though I eat healthy, you are not imagining it and you are not failing. You are eating well, moving your body, and doing the things that are supposed to work. Yet the scale is not moving, or it is moving in the wrong direction. This situation often starts with confusion. Then comes frustration. Then that quiet, deflating thought: maybe something is wrong with me. In my experience, that instinct is often correct. Weig