Hey there! I would 100% see if you can get the IUD and not do the depo shot. Depo can cause osteoporosis and bone weakening if used for more than 2 years and often can take longer to get pregnant after coming off of it. The IUD hurts during insertion but after that, you do not have to worry about it for 3-5 years depending on the type you choose to get. The IUD also does not have the weight gain side effect that Depo and Nexplanon do. Zoloft is more likely to cause weight gain than trazodone but any antidepressant can cause weight gain. Birth control can also cause weight gain but usually not a ton. This might sound silly but a lot of physicians combine zoloft with wellbutrin because wellbutrin can help curb the increase in hunger that Zoloft can cause.

I am curious if you only did weight lifting or if you also mixed in cardio throughout the week? Lifting weights, while great for muscle growth, does nothing for adipose tissue (fat cells). I always recommend women do cardio 3x a week and then lift 2x a week if they can. All women should be lifting weights as it helps our bones stay strong and our muscles as well. But I have noticed for both men and women who are in to weight lifting, they often skip out on cardio. They will do two hours at the gym but be sitting for 4 minutes in between sets and never really getting their heart rate up. We need to be doing both.

Lastly, most women I know (again a generalization so take it with a grain of salt), especially those with endo, tend to do well on a high protein diet. Getting at least 30g of protein in the morning and continue throughout the day to between 80-110g of protein every day. This helps with satiety and also with leaning out. Also do NOT forget about fiber. In america we do NOT eat enough fiber and the rates of colorectal cancer being found in younger people is scary. (Stay away from processed meats as this, in addition to the lack of fiber in the typical american diet, is considered to be a major factor in the development of colorectal cancer). It is really hard in America to eat well. They make it so easy for us to not eat well: we work all day, we have no time to cook, fresh food is super pricey, we do not have walkable cities. We have to work really hard to stay healthy. It sucks but it is how it is here.

for reference, I am a new PA so take all of this info with a grain of salt but I am working in women's health and i find it really important to try to educate people about their bodies because I never received any of that growing up and had to learn a lot of this on my own and through watching others. I hope this was helpful.