Went from 240 to 200 on Ozempic, transitioned to tirzepatide and am running into issues.

After I reached the max dosage of ozempic my physician recommended I switch to an agonist, which ended up being tirzepatide. I’ve had a host of problems since then such as new/worsening sensitivity to red meat, and worsened stomach issues. In spite of this i’m really only managing to stay at or around the 190 mark with little to no movement. I’ve been in the gym throughout this whole journey doing mostly weight-based strength training. Any recommendations for diet/medication changes or anything I need to do differently?