Doctors visit gone horribly wrong - seeking advice

Hi all, just looking for solidarity and maybe some advice after an extremely frazzling doctor’s appointment. For some background, I’ve been seeing my PCP for the past few years. Back in December during a well visit, I described to her daily symptoms I was having at the time (lethargy, irregular menses, hair loss - stabilized by oral minoxidil thankfully, mild hirsutism, unpredictable weight fluctuations) and she asked if I’d ever been diagnosed with PCOS. I told her I had back when I was around 18, but nothing really came of it. The endocrinologist I was seeing at the time prescribed me metformin, on which I was sick all the time and experienced little to no benefit. I relayed this to her but caveated it with the fact that I was eating very little at the time because it was the only way I could seem to regulate my weight gain, so it might not have been representative of a true tolerance. It was her who suggested at this juncture that I try a GLP-1 since there are more and more studies coming out about potential benefits beyond those of weight loss for people with PCOS.

In going by the terminology I see on here, I’d qualify as having “lean PCOS”. For context, I’m 26 years old, 5’7 and 146lbs. I would say it takes a ridiculous amount of effort to remain around this weight, and that so much as sniffing something offensive to my body results in weight gain. I relayed this to my doctor as well - that I don’t think I’m overweight by any means, I’m just tired and don’t think it should be an all consuming, like with the food noise, and volatile thing. With that being said, I wasn’t immediately comfortable going on a GLP-1 because I was worried about the weight loss effects. Because of this, I told my doctor I’d prefer trying the metformin again before going all in on the GLP-1.

Before we decided to switch to the metformin, I administered a small micro dose at her direction. I think it was .2mL which would’ve been 1mg of Zepbound. During this week, I felt great. Back to my old self - energy levels were up, I wasn’t preoccupied with food, and it’s like I felt and saw whole-body inflammation go down. After switching to the metformin, these sensations went away, but my menstrual cycle was regulated again.

Fast forward to now, I was titrated up to 2000mg metformin but have not found any experienced benefits outside of the regulated menses, which I am super happy about because that was a huge concern of mine. Considering this and the brief period of normalcy that followed the tiny Zepbound dose, I thought there was enough information now that it would be a good time to talk to my doctor about switching to a small Zepbound dose, given that she suggested it in the first place.

The appointment started out ok. I told her all of the changes I’ve made, including ensuring I have enough protein at every meal and other dietary adjustments, but that still my symptoms seem to not be fully resolved. It’s like she did a full 180 on how she viewed PCOS between the time I saw her last and today. After telling her how I’m feeling and that I’m interested in finally trying the GLP-1, again at HER suggestion, she launched right into me telling me now that:

1. I cannot have the insulin resistance form of PCOS because I am not obese. She now says everything I’m describing is normal for and experienced by everyone

2. The simultaneous sudden weight gain, cystic acne, and loss of period back when I was 17 is also normal

3. The things I describe such as lethargy and other energy-related symptoms are not related to PCOS and are likely in my head

4. What I said about unpredictable weight gain and having historically experienced very disordered eating to reach healthy weight levels is an indicator of a psychological problem, not an underlying disorder like PCOS

5. The bloating/inflammation I feel is also psychosomatic. She came over and lifted up my pant leg, because I said I feel the heaviness and inflammation mostly in them, and pressed down on my leg to show that I didn’t have edema, even though I explained that that’s not what I meant. Regardless of me saying that, she said no edema = no inflammation

I was stunned. I’d never seen such a total 180 by a medical professional and I started questioning every appointment I ever had with her. I asked her to go into my historical visit notes because she had been the one to suggest a GLP-1 initially. I also asked what my measurements were like at that point, so as to emphasize that I presented the same at the time that she made the suggestion. Upon seeing this she accused me of attempting to bully her into prescribing a medication. I started crying upon hearing this. That was in no way my intention and I was just trying to explore an option she had proposed previously. I’m home now but I just feel absolutely horrible, and I’m back to thinking maybe it is all just in my head and that what I described was just made up. I know a lot of us have had our fair share of denialist doctors, so if anyone can relate or has any words of wisdom it would be much appreciated