I can relate to the extreme fatigue. Menopause made this much worse, but HRT has helped. You are much younger than me. I had a later menopause in my 50s, but looking back I had a lot of peri menopausal symptoms for years before. I had bad 'acne' in my forties, having not had any skin problems in my teens. ( My children thought this hilarious. According to them you are not a proper teenager without acne and that I was making up for lost time!) I do not have coeliac disease, but was very and still am mildly intolerant of wheat and some others foods, resulting in a restricted diet. However, that meant I was forced to have a healthy diet, avoiding junk food. Recently, I was advised to cut out sugar, even restricting fruit and follow a low carb diet. ( I was told I was insulin resistant and have a strong family history of Type 2 Diabetes) I lost 1 1/2 stones quickly, before plateauing at the weight I should be. I now have a waist! Like you I am used to watching what I eat and it wasn't a huge adjustment, just less of the 'naughty' things. I am slimmer than I was in my 20s. So you can lose weight, but avoid those gluten free sugar laden cakes and biscuits! Best wishes, Ju Ju