Another vote for Mounjaro. You may have to pay prvately, the costs being £25 a week initially with code, up to approx £50 per week if you go to the highest dose.
I have been a nurse for a number of years, and a nursing assitant prior to that. My roles have been across gen surgery, emergency surg, and A&E. I can tell you that in my career i have seen many people come in with post weight loss surgery problems. some as many as 12 years after the surgery. Life altering conditions that are irrepairable now. Whilst the injection are relatively new to market, i have seen very few people now in A&E come in, i can count on 1 hand over the past 9 months or so, and it was mostly because they hadnt managed side effects and they were given some medication to help and discharged, never admitted.
Mounjaro, taken correctly, not messed with, being truthful on assessments, is relatively low risk and works well for a huge majority of people. It has been in clinical trials for 20 years. Early testing showed some adverse side effects when tested on animals, but not in later testing after adaptions to the drug, and when trails began on humans, however these warning still have to go on the boxes.
Research it independently, have a look at the oprah documentry, which whilst biased and american, shows the science behind it, and why it works. It may not be for you, but it is game changing for a lot of people, and worth considering. Yes the cost is high, but with the changes made to lifestyles, its easy to justify this cost, and alot of it is offset by reduced outgoings.