Denied again :(

Hi guys. I’ve been trying for 2 years now to get Zepbound. I miraculously got one box last year when I was still on my parents’ insurance for $25. It’s still in my fridge as we speak, I never ended up using it because I was trying to figure out my birth control situation (how it can interfere with the pill). Anyway, I’ve been trying for this entire time to lose weight. Tracking calories, exercising (walking on treadmill and body weight stuff). I try to stick to 1,600 calories a day. Anyways, I lost like 10 lbs at the start and my body refuses to lose more. I’m around 200-205. I know it’s possible because during Covid I got down to like 170, but I was eating 1,200 calories and doing cardio an hour a day. I can’t sustain that now obviously. I also have a very physical job (dog groomer) so I’m not sedentary by any means. My insurance recently changed to Highmark, which is what my parents’ had, so I went back to my PCP hoping it would be covered now. But I just got a text from my pharmacy that it was filled and I owe $921, so I guess so much for that 🥲 I know there’s a savings card and while I could afford to do it, if I have to be on this the rest of my life I don’t want to shell out that much money forever. I carry all of my weight in my low belly and thighs. I have that “b” belly shape. My waist is smaller and then it all just out at the lower part. I always feel bloated and inflamed. I have very bad constipation, if I don’t take Miralax it’s straight pebbles and sometimes blood (I’m sorry for the TMI lol). Part of it is definitely genetics as my mom’s side suffers similarly, but there has to be something I can do. I also want to note I’m in the process of autoimmune diagnosis. My ANA marker has been sky high for a year now but all other labs normal. My rheumatologist laughed me off and said it was “depressing for me” that I can’t lose weight but said it has nothing to do with a possible autoimmune disease. They also found a thyroid nodule, but say it’s normal and nothing to worry about. But I wonder if all of this could at all be contributing to my struggles somehow. ANYWAY, so sorry for the long ramble but I am so defeated. Can anyone relate or offer me any insight? Should I try to get semaglutide at a fucking med spa? I’m desperate 😭😂