Hi @southlondongal86 stage 4 endo here. Had my first op in October and I'm starting week 9 of Ozempic, 12.5lbs down so far. It's been brilliant for the ravenous hunger I've experienced with endo and also what I suspect is insulin resistance. However due to the pain I was in I'm not as physical active as you so can't comment on that element.
I'd say be careful to ensure you are eating enough to fuel your workouts. Ozempic gave me a powerful appetite suppression in the first month on 0.25mg. Im on 0.5mg at the moment and experience hungry cues so less likely to under eat. It can also make you light headed as it lowers your blood sugar. Its a powerful drug so just be careful not to push too hard while your body gets used to it and you understand it's effects on you.
Best of luck, for me it's been life changing to have relief from the constant "food noise" and seeing changes each week.