Losing It; Woman Over 30

I'm tossing up ozempic but I thought I'd come here first and suffer the Reddit hate.

I've always had to work at it to keep my weight down, but since turning about 29 there's been a notable shift in my hormones. I feel more tired more often, weight is much harder to lose, and when I go into a calorie deficit I get debilitating brain fog, anxiety and sadness. I also work a stressful job, which can make working out after work overwhelming.

Im trying to exercise as much as I can and sometimes thats 4-5 times a week, sometimes I'll go 2 weeks without any meaningful work outs.

Id say this year, ive managed at least 3 times a week for probably 4 of the 6 weeks of this year.

I'm not obese, my bmi would still be in the "overweight" catagory, but I would like to move down a size or two. I feel like the fat is accumulating on my face and seeing photos at the moment is a self confidence killer.

I'm also prescribed stimulants, so technically my appetite should be surpressed, yet my weight has remained stable on the medication.

Anyone been here or has any suggestions?