Patience please … anyone else taking a very long time?

Long story short. I am on 12.5 for third month, I have lost only 48lbs in 14 months. I have CRPS , which resulted in gastroparesis. So with Mounjaro it’s like I have double gastroparesis. Does anybody have any tips?? So I hardly ever go to the bathroom and have to constantly take Senokot or other fiber, supplements to finally go. I also tried some kind of magnesium. Somebody recommended on here and that doesn’t make me go either. Help please getting frustrated because I’ve got at least 50 more pounds to lose.