GLP-1 and PSC thoughts?

I can’t loose wait and have tried everything short of just eating all greens. Eat minimal meat take supplements over last 6 months due to a rigorous physical fitness management position. Run, exercise several hrs a day 4-5 days a week. Meld ranges from 14-17 currently lower at 13-14. 10 yr diagnosed 41 yr old male. I try to eat fruits nuts low fat or as low fat as reasonable. Sugar here and there is my biggest downfall. But even when I have curbed sugar to a low, I can’t seem to loose more than a pound or two. Any thoughts ideas, I’m worried about trying a glp1.

My hepatologist gave me her blessing to try glp-1 a year and a half ago. I’m a 56 year old female and my PSC has been pretty stable since I was diagnosed 9 years ago. I’ve successfully lost 95 lbs and it has changed my life for the better. I would recommend asking your hepatologist first, since it can cause pancreatitis and lately I’ve heard bile duct cancer? I also want to add that I have had 2 flares this year with fever and elevated enzymes. It could be related to the tirzepetide, but no one seems to know enough about glp-1s in my area to say for sure.
I have more energy, my body hurts less (fibromyalgia almost completely gone), and I feel so much better and happier in general. That being said, I am also cautious about losing too much weight just because if my PSC takes a turn I’ve seen how almost skeletal many people get before a transplant comes and that weighs on being in good health for the transplant surgery. Hope this helps at least a little and good luck!