Growth guys prices have recently came down for tirzepatide for example, also there's a 10% off code for them "SST10" if you do go that route.
My wife was prescribed semaglutide years back and she felt nauseous and sick all the time.
Now shes been prescribed tirzepatide for the last year or so and loves it, zero side effects shes noticed. Shes also started on hrt too so unsure if her hormones out of range caused the issues with sema
I think reta or tirzepatide will be the best choice, sema is kind of phased out and not as common anymore