My case is not as severe as yours. I do have a hiatal hernia and GERD for years. I am supposed to be on Prevacid twice a day but limit it to once a day due to bone loss.
I have been struggling with taking Tymlos for 7 months, it makes me very fatigued and causes extreme belly bloat which is a killer for my self confidence. So far I don’t even know if it’s working. I started on half the dose to limit the side effects but my blood scores weren’t showing improvement so now I am up to 7 clicks back to in the abdomen again for better absorption but may go back to thighs due to belly bloat. I also have Hashimoto’s thyroiditis and many back issues. I do exercise everyday do small group personal training twice a week with weights and generally suffer from soreness other areas due to that. I also walk, do pool water aerobics and bicycle. So far nothing is helping with weight loss, but at least I know I’m doing what I can. I Understand your comment about wanting to throw in the towel. Sorry I can’t offer much advice but encourage you to stay the course and commend you for all you are doing . It is very hard. My hat is off to you!