Peters MC, McGrath KW, Hawkins GA, et al
For these patients, I often recommend additional calcium and vitamin D supplementation, weight-bearing exercise 3-4 times per week for at least 30 minutes, and careful monitoring if we decide GLP-1s are appropriate
However, your healthcare professional may switch you from metformin to another anti-diabetic drug for various reasons, such as if metformin is not controlling blood glucose levels, you have severe side effects, or there are drug interactions between metformin and your other medicines
You're not losing weight or your weight loss has stalled for 6+ weeks at maintenance dose
Now I'm doing the sauna, bare minimum I do three, but I try to do four because of