For me, the thing that made me get hrt asap was serious lack of sleep. In retrospect, I let the sleep get worse and worse slowly over time and I don’t know why I put up with lack of sleep for so long. Lack of sleep is pretty awful.
Personally, I could probably live with the other day by day symptoms like night sweats but I must sleep.
I also am personally convinced that the long term health benefits are real so I want to be on hormones and I’d want to be on them even if I had no symptoms whatsoever. But you can’t get hormones for that reason so I keep it to myself and get hrt for the day to day symptoms like inability to sleep.
On weight loss, I think most posters here who are ok hrt will tell you it might help but it’s no miracle cure and might even add pounds. You have to be doing all the lifestyle things and Hrt is just part of the solution. I think most folks recognize that GLP1s or whatever they’re called is the thing that can help you lose weight but be careful bc of how you can lose muscle on those and the other side effects.