You should be treated according to your symptoms, not blood tests.
Those things you've listed could well be peri-menopause or they could be something else. Best way to tell is (if bloods are normal) to start some HRT and see if you feel better. It's not going to do any harm if you don't need it, you can just stop it again.
But having just gone through all this myself (actually still going through it), for me there were multiple things which just weren't quite optimal which - all together - made a big impact. I did need estrogen, but I also had low iron levels (ferritin) and my energy has been so much better since taking some gentle iron every day (Spatone). GPs don't test for ferritin, they usually just test haemoglobin is which is pointless as it just tests the iron in your blood - not your storage. I did a Medichecks home blood test (finger ****) to get that result.
I am also taking a B vitamin complex, since low B12 is very common and can also cause low energy and fatigue. (I use Garden of Life Raw B - since it is derived from real foods and not synthetic vitamins.)
For restless legs and sleep, magnesium bisglycinate is really important - 300-400mg daily, with at least half that dose before bed. I use Pure Naturals as it doesn't have crappy fillers in it or silicone dioxide.
And pretty much everyone should be taking about 2000iU of vitamin D a day...
If you have blood in your urine constantly, you should be on local estrogen (Vagifem) which should help to fix that. You can take that with or without systemic HRT. It is prescription only but GPs freely prescribe it and it has pretty much no side effects for most people. You can stay on it forever. From September women who are 50+ can get it from the pharmacy without a prescription but us younger women will have to go to the GP, which doesn't seem fair.
With the weight gain, I'm sure that will be peri-menopause and if you start HRT, it should resolve in a few months. My metabolism returned to normal when I started HRT. Good luck!