Welcome to HCM,
Your question sounds familiar. If you are at the point where you feel you have tried everything there are good medications and some new ones on the market to give you a boost!

I will go over a few so when the doctor asks you if you prefer one or the other you will have information on them.

Contrave is out to treat appetite only and will not stimulate you, lower lipids or act as an antidepressant. It works on your appetite hormones primarily.Some literature claims that it boosts metabolism.

AdipexP is very popular, but it is a stimulant and the doctor may not give it to you if you have heart or blood pressure problems.Also called Suprenza

Orlistat, not advised due to personal experience with my patients losing bowel control. Also called Xenical. Affects fat absorption and may cause A,D,E,K deficiencies along with the above mentioned embarrassing side-effect.

Qsymia - now, if no contraindications, I see this as a short term success story for you. It contains topamax, technically used for seizure control but has a long history of success with weight loss as a side-effect for its original use. So, we combined topamax with phentermine (active ingredient in Adipex-P) and the history with my patients is mostly very positive. It is addictive, so please take care.

I also want to mention, if you want to lose weight by yoga, yoga alone will not generally work. Yoga is for toning, relaxation, circulation but does not rev up your cardio or count as strength training. So if you are not putting in the work of 200-250 minutes of a weight loss program it will be difficult for you to lose that weight.
1200 Sample Diet Trying to cut and paste
Group      #Exchanges.CarbPro Fat
CHO (15-3-0)      9      135       9 0
Lean PRO (0-7-3) 6     0     42     30      
Fat (0-0-5)      3      0      0      9
*Veggies (5-2-0) 2     10     4      0     0
                       
Total grams            145      73      39
Calories: subtotal            580      292      351
Total Calories      1223                  
%C-P-F            47%      24%      29%
CHO: Use skim or 1% milk
PRO: Based on lean meats
Fat: Encourage healthy fats (MUFA, PUFA)
*Vegs: 2 exchanges used in meal pattern circulation, but encourage clients to eat nonstarchy vegetables as desired


Meal      Pattern      Foods
Breakfast      Egg and toast
     1P      1 egg
     3C      1 slice toast or 2 slices low-calorie bread (1C)
          6 oz light yogurt (1C)
          1 orange (1C)
     1F      1 tsp soft tub margarine
Lunch      Turkey sandwich
     2P      2 oz deli-sliced lean turkey
     2C      2 slices low-calorie bread (1C)
          1 pear (1C)
     V      Lettuce, tomatoes, raw broccoli
     1F      1 tsp mayo
Dinner      Chicken with pasta and vegetables
     3P      3 oz baked boneless skinless chicken
     2C      1 c cooked pasta (2C)
     V      Mushrooms, zucchini, green peppers
     1F      2 Tbsp low-fat salad dressing
Snack      Crackers and milk
     2C      1 c skim or 1% milk (1C)
          3 squares graham crackers (1C)


P is Protein; C is carbohydrate and F is Fat
So, at least you can see what a 1200 calorie meal plan looks like.
Increasing the fiber in diet will also help decrease appetite,but only soluble fiber from oats, fresh fruit, lentils.

If you have a question about a medicine not on my list, please feel free to write back and ask me about it. Sincerely, Kathy J. Shattler, MS,RDN