I'm a guy, but as I understand it, your main issue is insulin. Birth control can make insulin levels higher. Simply put, your body wants to store fat when insulin levels are high. You have 3 main options, I think... Caloric restriction (yuck), Ketogenic diet, and time restricted eating ("intermittent fasting). Keto works well for me. It restricts carbohydrates pretty severely, which which cause glucose levels to lower which will cause insulin levels to drop. Time restricted eating means limiting eating times to a specific block of time. The idea is that by not eating during your "fasting" period, your insulin level will fall to the point that your body will burn fat for energy. The length of the fast can vary. I have used 16/8 (16 hours fasting) and OMAD (One Meal a Day... about 22 hours fasting). Neither Keto nor time restricted eating technically require caloric restriction, but both tend to result in some caloric deficit. Keto, because fat intake tends to be more satisfying, and so you eat less. With time restricted eating, you are just having fewer meals, and tend to eat less. The good part of time restricted eating is that when you DO eat, the meals tend to be "regular" and satisfying.
In short, your hormonal treatment is causing a hormonal imbalance that is making it harder for you to lose weight (or even maintain). The answer to that is to do the things you need to do to counteract the hormonal changes caused by your meds.
Good Luck!
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