How to break through plateau?

I'm a 35 M have been on Zepbound for about a year, initially experienced very lifechanging weight loss (starting weight 182, currently 150), but have been sitting around the same weight for about the last 5-6 months. My Dr. and I both want me at 140, but the last 10 lbs don't seem to come. I've toggled back and forth between 7.5 mg and 5 mg (now on 5 mg), but weight is not budging. At 7.5 mg I don't really want to eat, and at 5 mg I have more appetite but I'm also more energetic. Any tips on how to break through for the last 10 lbs?