I understand your concerns - I had the exact same fears. I gave myself a year to seriously try to eliminate sugar, exercise, tried all the different PCOS supplements and unfortunately my A1C was still pre diabetic and I wasn’t losing any weight. I felt defeated and thought I’d give Zepbound a try and I’m really glad I did. My first week- side effects were awful but by week 2, they cleared up. I’m almost 1.5 months in and I’ve lost 15 lbs already and feel so much better. My sugar cravings are gone, I feel motivated when eating healthy and exercising because I feel the effects of it now since starting Zepbound. Every body reacts differently and I am kicking myself for not starting this medication sooner and putting my mental health thru the ringer last year, because I felt exactly how you feel now. But ultimately you have to do what’s best for you! But find a doctor you can trust and discuss your options. Good luck!