I've gained a lot of weight and my self esteem sucks. It has taken a dive I literally cry whenever I see myself in the mirror. I don't want to hear any bullshit about "accepting it" or something like that. I'm unhealthy too. I also need to lose weight for health reasons. I am not gaining any more weight on my current meds but I struggle to lose any weight I gained from my previous meds. I'm also insulted from my mom (mostly super insensitive jokes that make me feel worse. But that's a story for another day). I also have PCOS and that makes it hard. I am also on a small dose of metaformin once per day (evening). I tried keto before and I had some success but I was miserable on the diet. And it's hard to maintain so I stopped. I don't know what to do. I can't fast for long since my meds require food (350 calories). Would diet, calorie counting, and physical activity be helpful like with normal weight loss? Are there any success stories on here?