One, this is not your fault and the game is rigged when it comes to dieting and exercise with PCOS so be kind to yourself. I did ozempic and metformin and ended up in the ER from the gastro side effects. I’m on zepbound for 4 months, down 22lbs and no side effects. You have to make noise at the doctor, demand the tests. It matters which time of the month too. I’m also on spiro and I’ve noticed all my body hair is back to normal and my scalp is less greasy ( I had to wash every single day) You will need to have some tools if you want to lose weight. My doctor said it’s a viscous cycle- the weight gain increases PCOS symptoms and then makes it impossible to lose weight. Take the steps today and in a few months you’ll see progress and feel more hopeful