Stress management : Since stress can make fibromyalgia symptoms worse, learning how to manage stress is important
(jofem.org) The best-case signal: modest weight loss in a shorter trial A frequently cited 12-week randomized trial result (as summarized in reviews) reported: ~2.6 kg average loss with AOD-9604 1 mg/day vs ~0.8 kg with placebo (PMC) This is the kind of result that can be statistically meaningful, clinically modest, and very sensitive to study design (diet, activity, baseline metabolic status, adherence)
Semaglutide and Tirzepatide for Obesity Effectiveness and Value

How to prescribe oral semaglutide Rybelsus is indicated for the treatment of adults with insufficiently controlled type 2 diabetes to improve glycaemic control, as an adjunct to diet and exercise: as monotherapy when metformin is considered inappropriate due to intolerance or contraindications in combination with other medicinal products for the treatment of diabetes Related Article: Wegovy given new approval for treating form of liver disease NICE says: If triple therapy with metformin and 2 other oral drugs (see recommendation 1.6.27) is not effective, not tolerated or contraindicated, consider combination therapy with metformin, a sulfonylurea and a glucagonlike peptide1 (GLP1) mimetic for adults with type 2 diabetes who: have a BMI of 35 kg/m2 or higher (adjust accordingly for people from black, Asian and other minority ethnic groups) and specific psychological or other medical problems associated with obesity or have a BMI lower than 35 kg/m2 and : for whom insulin therapy would have significant occupational implications or weight loss would benefit other significant obesityrelated comorbidities

He also struggled with low energy, a kind of never-ending chronic fatigue syndrome, and by the time he was out of college he weighed 300 pounds
TRT (testosterone replacement therapy) may be considered if clinically low levels are diagnosed