Desperate diet help-Doctors are not being helpful

Thank you all for the recommendations and questions. I will respond to each of you here:)

Commander_kee- The doctor doesn't want me to do a Keto diet because of the High Fat content. She thinks it will be hindering my levels by battling fat with fat. My goal is to be a weight that I can sustain and not have to undergo a lipid treatment. The weight loss program was strictly diet and exercise. I attended three intense workouts every other day from boxing, strength class, and spinning class. As well as 3 of the days strickly cardio/strength lower days. The program focused on clean eating and exercise with no added supplements. We had meetings with nutritionist for dietary needs. At that point I had no idea of my triglyceride levels. Thank you!!

FrancI27- I have tried counting calories. I have tried counting calories towards what my daily needs are to the exercise that I had/have been doing. I'm trying to see a dietician that could be seen through my insurance at the moment. The phentermine was not prescribed prior to my tests. I will be discontinuing the phentermine a month before my blood retest.

LeonCX- She is putting me on phentermine until a month before my blood test. I am aware of side affects. I have been monitoring my bp and pulse closely but I will talk to a pharmacist and hopefully a dietitian soon.

Horten- I was eating around 1200-1534 calories per day. My normal calories that I eat per day were around 1700 before I started this current diet. The 20lbs I believe is due to the excessive carb cut. I did not realize how many carbs I was eating prior to starting Keto. I used Ketostix which was a huge help to let me know that I was in ketosis. She did not set me up with a specific calorie amount. I'm definatly looking around to see what other people are eating as well. I cannot do the "low fat" foods because they are almost always packed with preservatives or sugars.

Navtendon- I will look into the paleo as well. My keto levels were 5% carbs, 15% protein, 80% fats. I'm trying to look into a nutritionist/dietician

Libbydoodle- I lost my final 2lbs to make up the 20lbs on my doctors appointment which was on October 16th. Since then I have lost .5lbs. My cabinets/fridge are pretty well all non processed, organic, and carb free. I have been on keto for a month so everything has been cleared out that isn't healthy.

bwog- I have a family member who has the same problems (triglyceride level is related to hereditary as far as I know 4 family members have this problem) has been doing Keto for 5 months and has lost 80lbs and lowered his levels. He has been giving me suggestions since I got the news about the levels.

shaumom-I really probably have. I've been looking into this since the day I got the news.

lisabinco- the phentermine was my final option. To even see a doctor was my final option. I needed help and guidance with what is going on with my body as diet and exercise alone is not working yet.

Lorib- Thank you! Yes if my levels don't go down by December they are sending me to a lipid specialist that will pull all the fat out of my blood and put that same blood back in without the fat in it.

I will be getting off the phentermine soon but as for now I am going to continue with them until I can see a dietitian. I spent 8 weeks doing 3 a day workout classes for 3 days and the other 3 days was cardio/strength. My diet was on point with what the nutritionist had set for me. He had just set my calories and not looked at my individual needs because they did not assess my blood work. It was included with the weight loss challenge. I met with the trainers almost every week to show my food options. They thought everything was great and I should have been losing weight and my body should have been changing like everyone else. I had only lost 7lbs while everyone else lost 30-50lbs. My health has always been my main priority and if I do not lose the weight my lipids are going to kill me. I'm not worried about the number on the scale I'm worried about if I don't lose the fat that is in my body I am going to die. I may not die today but I can get heart disease easily, have a stroke, or heart attack. I monitor my blood pressure a couple of times a day because of the side affects of phentermine. I have been trying to lose for 7 years. I do understand people opinion of phentermine, I really do but that is solely my option to take them.