Hi @Perpetuallyperfect
This is the response I posted on another very similar question on here, I think it is just as relevant in response to your post:
I have spent my entire adult life losing and re-gaining the same 5 - 6 stone. Menopause just makes it all so much harder.
I have tried every diet known to man since the age of 11 (thanks DM)
I also have PCOS, raised cholesterol and a family history of type 2 diabetes and heart disease.
5 years ago I gave up weighing myself because of the effect it was having on my mental health (which I take a high dose of antidepressants for and have done for around 30 years.)
I gained weight - I did not know how much but went from a size 12/14 to size 18. I tried 16:8 for a while which I really liked doing and I think that held my weight steady while I did it (no increase in clothing sizes during that time.)
Then about 9 months ago I stumbled over a thread on the weight loss boards here about weight loss injections.
I read the threads and lurked for months - I must have been living under a rock because I wasn't even aware that weight loss injections existed!
The cost concerned me as £200 a month seemed way out of budget for me.
I started using Mounjaro at the beginning of August - I used a code from another Mumsnetter to make the first pen affordable.
It has been the best thing I've ever done - I'm just over 3 stone down now - I'd like to lose another stone.
I now know what it's like to not have my life controlled by food.
I'm saving the £200 pen cost each month on my grocery/food bill easily. I also had very few side effects luckily - the support from the threads really helped in that respect as I felt completely aware of what side effects I may have and lots of suggestions from those who had already been there to help avoid and deal with those side effects.
I'm aware that there could be long term health implications of the drugs, but from the research I have read so far the risks look less than the risk to me personally from remaining obese.
DM's weight went up and down her whole adult life - she tried all the diets - even amphetamines in the 80's.
She ended up with type 2 diabetes, high cholesterol, high blood pressure and heart problems. She now has Alzheimer's.
MJ is thought to have protective effects against dementia and a fair few cancers.
I'm also happy to use MJ for maintenance for the rest of my life if I need to - kind of like the antidepressants I take.
I don't want to end up taking metformin, insulin, statins, blood pressure meds, and the plethora of other drugs DM takes, and I hope that maintaining a healthy weight and lifestyle will give me the best chance of avoiding needing those drugs. I know from a lifetime's experience that I cannot do that by myself - for whatever reason I just can't - it's certainly not from lack of effort.
I'm not saying that you should use weight loss injections - but for me it genuinely has changed my life. Have a lurk on the threads on the weight loss boards, do some research for yourself and see what you think - it's an option that you have if you want it.
Feel free to DM me if you want to ask anything. And whatever you decide to do I wish you success!