Try Zepbound. You lose more weight with far fewer side effects.
Although, you may still have issues. It does just sound like there's something unique about your chemistry. I don't think that many of those side effects are even in the ballpark of normal.
I would like to try it, but I don’t think it is available from shady internet doctors and insurance won’t cover it because I’m not diabetic. Shady internet ozempic passes the cost-benefit test (barely, considering I can successfully lose weight without it it’s just hard). Full cost out of pocket it does not. Maybe in a few years.
I would worry that the side effects I care about are not the side effects that others report being improved on zepbound.
Protip: Get an ultrasound on your liver. Almost every obese person has (what used to be called) fatty liver, and that's usually enough to justify the prescription to your insurance company.
Although, you may still have issues. It does just sound like there's something unique about your chemistry. I don't think that many of those side effects are even in the ballpark of normal.