I think I may need help

Ask your doctor for a referral to a registered dietition (not a "nutritionist") to make sure you are maintaining a diet that will improve your health while you lose the weight.

I just looked up Contrave. It's a combination of bupropion (an anti-depressant) and naltrexone (an anti-addiction drug) and is the latest on only three drugs to be approved for weight loss by the FDA. Since it is a psychotropic drug rather than a form of speed, it shouldn't have the same cardiac and addictive dangers as the others. Only you can tell over tiem whether it works for you as intended and if the effects of it on you are worth it. I've taken bupropion (and fluoxetine) for years for depression and it certainly works for me but I had friends for whom it was not the right thing.

If the Contrave depresses your appetite too much, preventing you from eating enough to stay healthy, then you'll want to talk to the doctor about changing either the dose or switching to something else. I know with some of these drugs you shouldn't just stop cold turkey or you will get some weird side effects to make sure to talk to the doctor first if you decide you need to change what or how much you are taking.

My doctor has always told me my liver numbers were off and he repeatedly asked if I were drinking booze (I don't) and he has me on metformin for Type II diabetes. I've lost 30ish pounds since June and just saw him yesterday. He said my liver numbers were "perfect" and he was pleased to see my a1c go down to 6.0. I still have over 100 pounds to lose but clearly weight loss is having the desired effect.

Good luck to you!