Some tesa protocols can also motivate intermittent fasting. In any case, tesa is one way to focus on body recomp, as is HCG for some men.
Some other options:
1) Move to Canada, apply for citizenship, and ask for "medical assistance in dying" (MAID). At some point, tell them you changed your mind. Between moving to another country and the near-death experience, you should lose a few pounds.
2) In theory, PT-141 can help with weight loss (one way or another, like with helping energy level -- not just libido). Some people say the same thing about SS-31 (energy boost and stopped the stall).
3) Elora or cagri (more practical than #1 or #2).
4) Just wait it out with reta.