Dr. Good With Med for Weight Loss But Not GLPs. Help?!

A couple of years ago, I tried semaglutide for two months and was miserable with vomiting all the time. Since getting my Hashis diagnosis 3 months ago, I have been interested in trying Zepbound because I hear it is great for our symptoms but the cost has held me back. Amazingly, my insurance started covering GLPs on July 1 and I would like to take advantage of that before they change their mind or something. So the coverage has me all fired up about this. Thinking of bringing it up to my doctor does *not* fire me up.

I couple of visits ago, I asked my doctor - who has been great from day one- about weight loss drugs. He immediately said he's in favor of them but not GLPs and that once we had my levels optimal, he would be happy to prescribe me Topamax. (It's a medication for migraines, seizures and some mental health symptoms that also can cause weight loss). We immediately moved in. It was quick and easy.

I didn't even think to tell him (and I know that's horrible of me) but I have taken Topamax (not for weight loss) and it did not cause me any weight loss. Also, I do not think I can take Topamax due to interactions with the medication I started to replace it in the first place.

So I would like to bring GLPs up to him at our next appointment. But I'm terrified. He's a very nice man. He has a great bedside manner, he takes time to answer all my questions, he tested my thyroid at my first visit because he suspected thyroid issues immediately. I feel lucky to have him based on many posts here. But still I'm so intimidated to bring this up.

Any advice on finding my confidence and approaching this in the best way?

I have researched Zepbound and Hashis myself. I've made note of the benefits I would possibly see. But I would love to be able to present him with more. If you've read this far, pleqse let me know of benefits you experienced.