Give me your hail mary before I resort to a GLP-1!

Hey all. I was suspected to have PCOS in 2022 due to literal polycystic ovaries on an ultrasound, then confirmed by my naturopathic/functional medicine doctor back in 2024 as symptoms worsened & confirmed by blood tests. Since then, I have flipped my life around, all while still gaining weight somehow:

• Gluten free, dairy free diet based on actual allergy tests
• Low carb, high protein, high fiber, increased healthy fats vs what I was eating before
• Metformin prescribed over a year ago, helped me get my insulin and A1C numbers in the green! But still gaining weight
• Weight training/building muscle x2-4 per week + 10k steps daily + cardio on the days I'm not strength training (working out 5-7 days per week + the 10k steps)
• Supplements: Prometrium, Vitamin D, fish oil, OvaBlend (herbal blend with NAC and more), chaste berry extract, GLP-1 enhancing probiotics, Cortisol Manager (herbal blend with Aswaganda), FODZYMES (digestive enzymes), PyloGuard, RestoreFlora
• Not eating 2-3 hrs before bed
• Sober from everything and have been for 2+ years
• Yoga, meditation, anything and everything to lower cortisol (nothing touches it besides heavy sedation lol)

On top of this, I have severe anxiety and depression and was diagnosed and treated for stage 4 DIE endometriosis and adenomyosis, of which I'm on the mini pill for indefinitely following my surgery, which I'm sure plays a component in weight management as well. Also suspected neurodivergence, MCAS/histamine intolerance, and EDS/hypermobility. In terms of TCM, I most closely match Blood Stagnation & Liver Qi Depletion, although this has not been confirmed by a TCM doctor. The only thing that ever got me to lose weight and feel better was Wellbutrin, but I was highly allergic to it and my anxiety was awful.

My doctor prescribed zepbound but was of course denied by my insurance. Before I pay out of pocket for it for potentially the rest of my life (given its great effects on endometriosis too), please tell me what I haven't tried. Give me your hail marys! It's time. Supplements, lifestyle changes, you name it.

I literally feel like I can't live the life of a normal girl in her 20s. I can't just like drink a glass of wine with the girlies without health repercussions the next day.