u/Sad_Junket_1800

I have fatty liver disease, I’m a 30 yr old female at 5’4 and 265 lbs. I tried phentermine with little to no results, I tried GLP-1 with no results at all, and then I tried semaglutide injections for a very short period of time. I saw no progress for about 5 weeks and then couldn’t afford it as my insurance wouldn’t cover it.
Does anyone here know the chances of UHC approving bariatric surgery for fatty liver disease and obesity?
My ALT, ALP,AST, and GGT levels are elevated
Blood pressure is always low
Just jumped from a 5.3 A1c to a 5.7 A1c so I’m technically now prediabetic
Would the surgery even be a good option for me?

F 30 265 lbs
Meds:
Gabapentin
Propanolol
Hydroxizine
TraZODone
Ambien just switched to Lunesta ( not working )
Abilify just switched to Lurasidone ( not working )
Venlaflaxine
LamoTRIgine
Lansoprazole
Infammatone
And magnesium glycinate
Also an IUD birth control

Resistant to GLP1, Phentermine pills, and Semaglutide injections

Elevated and quickly rising ALT, ALP, AST, and GGT levels.
A1C jumped from 5.3 to 5.7 in a month
Pre diabetic

Diagnosed: Bipolar, Depression, Anxiety, insomnia, sleep apnea, and I’m being tested for ADHD on Aug. 31,

I am diagnosed with Fatty liver disease, chostochondritis, chronic inflammation, and metabolic syndrome ( I forgot the last ones real phrasing, sorry )

Family history:
Lupus, Thyroid issues ( Hyperthyroidism I think) leukemia, breast cancer, skin cancer, lung cancer, and primary nervous system lymphoma, adhd, personality disorders, autism, fragile X, depression, anxiety, bad anger issues and diabetes.

I have Abdominal ultrasound photos as well as notes from the hospital.

My question is if anyone has an idea of some of the issues I’m having may be related to progression of liver disease, cirrhosis, liver failure etc.

Symptoms:
Mood swings,
euphoric mania,
suycidal depression,
crippling anxiety,
olfactory and auditory hallucinations,
brain fog, brain lag
Memory issues both short and long term
Impulse control issues
Possible OCD, that as a kid looked like anxious cleaning, that is now blemish picking and repeating words over and over again, and teeth grinding
Sleep apnea and horrible insomnia
Fatigue, no energy, feeling weak and slow
Pain. Every where. My chest, my arm, my head, my knuckles and ankles, and muscles in my legs causing twitching a lot at night. Randomly or at all times. I never knew the pain I’m in wasn’t normal until I saw my Dr.
vision darkens and gets blurry
Bad eye twitches and spinal shivers while driving
Feeling faint like everything pulses and sounds start sounding funny and I feel like the floor is moving in waves beneath me.
GI issues had bloody diarrhea for weeks, the blood has cleared up now but now it’s consistant diarrhea and never solid for at least the past year. I did have sticky looking clay like black stool 3 times. but that’s cleared up now as well.
Dark colored urine, likley dehydration
Easy easy bruising
I have an IUD, had one 12 years and now I just replaced it about 3 years ago.

And last but not least the most embarrassing.
I have been prone to UTI’s and Yeast infections since I was a kid. But right now it’s so different. Horrible smell that could probably make someone puke, and I feel like a dry tampon is stuck up there occasionally.
Someone at the hospital I was at had BV and now I’m wondering if it could be BV or if it’s liver related.
Washing won’t help, sometimes even worsens smell.
But there’s no pain, not even when I urinate, no bumps or warts or anything, and no itching.

Any ideas or input about all of this?
I can post Dr’s notes in the comments,
As well as my abdominal ultrasound.