I finally convinced the medical system I should be on a GLP-1. I've already dropped like 5lbs in like two weeks after stalling at 214 for almost 6 months on the other medication I was on. No real side effects yet. I go up in dose this week, so we'll see how that goes. My liver needs this shit. I'm also happy that the person I'm working with now isn't pressuring me about working out after explaining how limited my time/space is. They also seemed to have more access to my medical records from my GP then they did previously, which cuts down on my least favorite health-care related activity, phone tag and information relay.
I have been reading Health Communism; it's good; people should read it.