52 YOW h/o gastric sleeve 8 years ago, now on Zepbound unable to eat and wanting to lose weight

What do you recommend I tell this patient? She's averaging 500-700 kcals daily (prior to her initial consult with me today), and unable to eat much because of the sleeve and medication. She is also menopausal and with a h/o PCOS. Believes complex carbs are "the enemy" in the setting of menopause and PCOS, and is also hyper concerned about all the food additives in American food, which I get. She's not working out at all, so I encouraged her to start that and, more than anything, weight training in hopes it helps with weight loss. However, I told her I believe the biggest issue is the lack of appetite due to the medication. I told her she's risking malnutrition because of her minimal intake. She's not willing to give up the medication and she also refuses to accept the fact that she may stay fat for the rest of her life, her words exactly. Thank you in advance.