African american, difficulty losing weight, elevated bp, thinning hair with polycystic ovarian syndrome on metformin 1 year? what now?

Weight loss: The best way to lose weight is eating a well balanced diet with low Carbohydrate intake, higher protein and fiber and daily exercise, Keeping a diary of food you are eating and how much you exercise can help you a lot, you can use myfitnesspal application to log your diet and exercise for free. Also you can look into Atkin diet if your doctor sees no contraindication.

Difficult: You are in a difficult situation - weight loss is the key to getting better but your conditions make it very hard to do. My advice to my patients is to read a book called "Dr. A's Habits of Health" by Dr. Wayne Scott Anderson. I also recommend his program - Take Shape for Life as it is easy, safe and works well. If you don't want to do the program his book gives enough info to do it on your own