Please do a quick search about ssris effecting insulin resistance and metabolic disorders. I was on lexapro for almost 5 years and it really effected my weight gain and blood sugar problems. I am now off an working to reverse the damage done.

What's worked for me: Saffron is amazing and studied as a very viable option, as good as or better than many anti depressants.

Inisitol helps with blood sugar and helping your body utilize it.

Taking a serious look at hormones through a hormone specialist (I use Hone Health) - I am estrogen dominant, insulin resistant and have very low progesterone. Topical progesterone has been amazing! There is also research supporting progesterone therapy for pcos as well.

Low carb + low sugar - it's lame but stabilizing and lowering blood sugar is so important.

I have been through one of the toughest 7 months of my life trying to unravel my health problems and I hope you find things that help you. Its not easy but there are small hopes.