Losing weight in your 40s post ED

Hi, I'm not new here, been part of this for years. I've recently encountered alot of health issues and hormone imbalances, I was once 128lbs with and eating disorder at 32 years old. I'm now 39, semi recovered but gained about 30lbs. No matter what I do I can't lose weight. With caloric restriction, medications, a 60hour work week, I can't lose I just keep gaining..I'm struggling and looking for some support.