@tjgisewhite hi there! I was leading your post and saw that we share a few post transplant symptoms. My one year anniversary was Nov 28, 2019. I also had been on prednisone for the first few months but by the 5th month I was off all medications except for 1mg tacrolimus every 12 hours. I had gained about 40 lbs as well and my hair was thinning rapidly. I had a very health diet but couldn't really excersice until about 6-8 months after surgery. For my hair I took Biotin orally every day for a couple of months. My hair is thicker now and has stopped falling out. I signed up with a personal trainer beginning of this January and go (went) to the gym 3 x a week. I am so much strongest and the weight has started to drop (although slowly). For the first full year I believe my body was adjusting to the changes and recovering from the battery of drugs I had to take. Be patient if you can. Your body will realign itself and will get back to a steady rhythm at its own pace.