48 here, sleeved in late 2013. Had my last period last year so I get the whole menopause thing. BUT.... my personal experience (and all it is is that) is that the more carbs I eat, be they added sugar, bread, pasta... heck even fruit and yogurt... the hungrier I am. And yup, for sweets! New research is showing that we cultivate certain types of bacteria in our gut and when we crave sugar it’s to feed the type of bacteria that crave it. It you starve them out you are much better off! Though trial and error I have found my limits where I can get Fiber and such into my diet (some berries, half an apple, whole grain cereal) and Calcium (Greek yogurt w no sugar... I have parathyroid issues so Calcium is big for me)... without triggering the appetite/cravings. Also yeah exercise is key... and I get the energy thing... but there I will say again, for me personally, if I get out there and push past the “tired” next time I am less tired. Takes about a month consistently (I’ve had to come back after injuries laid me up) for the “let’s go” to outweigh the “tired.” I’m a runner (love saying that cuz I was NEVER an athlete pre op) and I run 25-30 miles most weeks. Some days I want to run, other days I’m dragging but so it anyway. And the draggy fades away after I get into it. So... yeah some docs will do a re-sleeve where they make it tighter. Conversion to bypass is an option with most as well. BUT really all it will do is give you that “honeymoon” window again. Which isn’t to say that’s a bad thing, but it won’t last either. It might give you an opportunity to make changes though. What do you eat now?