I'm insulin resistant and currently using low carb with intermittent fasting (Edit: plus three meds) It is successful for me where other methods have failed, but it's slower than I'd like because I keep lapsing. Even so, I can feel and see the difference in my health so I am going to stick with it.
About 20 months ago at 135 kilos I was referred after much hoop-jumping to weight management services, before I started lc/if. They were actually great in the sense that they listened and didn't try to tell me what to do - it helped a lot as a kind of counselling service I suppose.
Bariatric surgery was on the table provided I lost 10% of my bodyweight and attended some group sessions. I felt at that time that I had exhausted all other avenues and was desperate to save my life.
A medication I was started on about a year ago (trulicity) was extremely helpful for me - it reduced my insatiable appetite just enough to give me my hope back - wms were delighted and told me to own it regardless of what caused it.
Skip to the last few months and now I'm losing weight a little quicker and steadier on lchf/if and wms have put me on 6 weeks instead of monthly appointments. Surgery is not yet off the table, but as long as the equation wms + trulicity + lchf/if is working I hope to avoid it.
That was a really, really long way of saying I really do understand a lot of what you're going through mentally as well as physically, and I think it's only that I'm not yet an insulin dependent T2 that I'm not prepping for surgery now too.
I will be following your posts and I'm really interested in how our two journeys compare - here's to success and happy futures for us both!