Let a sequence of natural numbers be $a_{n+2}=\frac{a_{n+1}+a_n}{\gcd\left(a_{n+1,}a_n\right)}$ where $a_1=a,a_2=b$. Find all such pairs of $a,b$ such that the sequence is bounded.
Denote $\gcd(a,b)=(a,b)$. First of all, I notice if $(a,b)=1$ then the sequence would grow like $a+b,a+2b,....$, so $(a,b)=d>1$. Now let $a=dx,b=dy$ and $(x,y)=1$. Then we get $a_3= x+y$ so, $a_4=\frac{x+y+b}{(x+y,b)}$. How do I proceed?
I will denote a pair of neighbour numbers from the sequence $(a_n)$ as $x,y$ going in that order. As you already stated, once we get a pair of coprime $x,y$, the sequence is done: it strictly increases after and hence is unbounded. Indeed, $\frac{x+y}{\gcd(x,y)}= x+y > y$ and new pair numbers $y, x+y$ are also coprime.
Next, let us assume that $x=y=2$. What number (denote it by $t$) was before $x$ in the sequence? Here is the equation for $t$:
$$\frac{t+2}{\gcd(t,2)}=2.$$ If $t$ is odd then $\gcd(t,2)=1$ and $t=0$ which is impossible. If $t$ is even then $\gcd(t,2)=2$ and $t=2$. So, the whole sequence only consists of $2$ and is bounded. Thus, we get the only suitable pair of $a,b$. The answer to this problem is $a=b=2.$
Now, let us assume that every pair $x,y$ in the sequence is such that at least one of the numbers $x,y$ is not $2$ and $\gcd(x,y)\neq 1$. Consider the number $t$ following after $y$. We will prove that $\max(x,y)\ge\max(y,t)$. Indeed,
$$\max(y,t)= \max(y,\frac{x+y}{\gcd(x,y)}) \le \max(y,\frac{2\max(x,y)}{2})=$$ $$ = \max(y,\max(x,y))=\max(x,y).$$
The equality $\frac{x+y}{\gcd(x,y)} = \frac{2\max(x,y)}{2}$ happens only if $x=y$ and $\gcd(x,y)=2$, so if $x=y=2$, which is not the case here. Hence $t=\frac{x+y}{\gcd(x,y)} < \frac{2\max(x,y)}{2}=\max(x,y)$. If $\max(y,t)=\max(x,y)$ then $\max(y,t)=y\implies t<y$. And also $y\ge x$.
This means that pairs get “smaller” and “smaller”. Even if $\max(x,y)=\max(y,t)$ the next pair will get “smaller” since $t<y$.
But it can’t be so that the pairs get “smaller” endlessly. Therefore, sooner or later $\gcd(x,y)$ will become $1$ unless the sequence was all $2$s.