It’s this: alli on Amazon
I know it sounds wildly crazy but NOTHING and I mean nothing else worked for me. It’s expensive but it got me off all other otc “helpers” and fixed the issue like they never did lol
Amazon.com: alli Weight Loss Diet Pills, Orlistat 60 mg Capsules, 120 Count Refill Pack: Health & Personal Care
https://www.amazon.com/alli-Weight-Orlistat-Capsules-Refill/dp/B000OWLNBY/