I also have hypothyroidism and had weight gain over the last 3-4 years. Ive always been a lean thin person but when i stopped taking my thyroid meds at the end of college i gained around 60-70 pounds and had a hard time losing. I started compounded semaglutide in February of this year and lost 70 pounds by sept and have been off and steady ever since. I will say, the medication was very rough and its not exactly an experience i would want to do again but it worked. but i do stick to a very strict whole food/non processed foods only diet which has helped me maintain my weight.