Weight loss before trying again after recurrent miscarriage and pregnancy loss

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Hi everyone, apologies in advance for long post

I'm looking for some advice from people who've been in a similar situation.
I'm 32 and have a 3-year-old daughter. Sadly, I've had three missed miscarriages in the last year (May 2025, October 2025 and April 2026). My recurrent miscarriage investigations have so far all been reassuring – APS testing wasn't confirmed on repeat testing, scans and my recent hysteroscopy were normal, and I'm still waiting for the genetic testing results from my most recent miscarriage. My consultant also wants to check my HbA1c.
The thing I'm really struggling with is my weight. My BMI is now 42, and if I'm honest I've gained a significant amount of weight over the last year. Between the pregnancies, miscarriages, surgery, grief and just trying to get through each day, looking after myself has fallen by the wayside. I'm not proud of it, but I also know why it happened.
I've recently joined a gym and started doing three 45-minute weights classes a week, but I'm worried that diet and exercise alone won't be enough. I'm considering Wegovy or Mounjaro, but I know I'd need to stop it and wait before trying to conceive again.
I'm really torn. Part of me feels I should do everything I reasonably can to improve my health before another pregnancy, especially if it might reduce my risk of another miscarriage or pregnancy complications. The other part of me is terrified of delaying TTC any longer after everything that's happened.
Has anyone been in a similar position? Did you decide to postpone trying to lose weight first? Did you use Wegovy or Mounjaro before TTC? Looking back, are you glad you waited, or do you wish you'd just carried on trying?
I'm also struggling with the thought that now all my investigations are coming back normal, my weight is becoming the "last thing left" to blame, and I don't know if that's a fair way of thinking or if it's just my grief talking.
I'd really appreciate hearing from people with lived experience rather than judgement.

Diet and exercise is enough - the weight loss medication just makes it a bit easier to stick to the diet side of things. How long have you given the diet & exercise? It could be weeks before you start to see or feel a difference but it will come.

Are you tracking calories and protein?

I'm sorry about your losses
Kindly, your BMI is morbidly obese, not just overweight or obese. If you have a pregnancy to term, that could be an additional 10kg on top! I'd be trying to lose weight and get healthy before TTC, for your own sake, current child and any future ones. The weight can massively affect hormones and your ability to TTC.

I was in the overweight category when TTC. After 3yrs- nothing. I left a stressful job and both DH and I each lost 10kg. I conceived soon after. Sadly it was a loss though, the first of 3. One thing no one told me was that if you are overweight, you should be taking 5mg of folic acid, not the over the counter 500mcg. You can get it prescribed but I think buy online too.

I'd also recommend reading 'It starts with an egg' which has some simple, every day things which might help. I recommend a managed diet plan to give you support though. x

Hello, I’m sorry to hear your story. I have an almost identical story to you, except I’m older. I have a 3 year old, and I have had 3 MMCs in the last 18 months.
I had a BMI of 33 after MC2 and I took a mental health break from conceiving - I literally couldn’t do that anymore. I was turning 39 at that point and didn’t have the time to waste so to speak, but I needed to protect my mental health so I did it.

I ordered MJ days after my d&c. I told myself I’d take 5 months off and I lost 2 stone. I felt amazing, I felt in control of my life and I knew I was doing something to help myself whether it just be with self-esteem or whatever. I came off it to TTC. I went onto have another MMC six months later but I don’t regret my choice for a minute. I’m pregnant again but still very early stages so I don’t know how this will go. To be honest, I don’t want to try any longer so this is my last try no matter what way it goes IMHO.

Honestly, if I were you, I would take a 6mths-1 year out to fully concentrate on your health. WLI is not a way out or cheating, it’s an extremely helpful aid that is monumental for someone like you. I told my private consultant and GP about MJ, I didn’t do it under the radar. Both were fine as long as I wasn’t actively TTC while taking it. No big wait to retry. I’m also am militant about vitamins etc.

good luck - if you’re going to do it and can afford it, go for MJ not wegovy. You are time limited so best to give it your all for when/if you take this break - prioritize protein and fibre, eat healthy and move. You can do this x