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A practical approach is to serve approximately half to two-thirds of a previous typical portion, eating slowly and mindfully

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Most states require you to have tried metformin for at least 60 days without good results, or have a reason you can't take metformin, or have established cardiovascular disease, or need combination therapy with an A1C of 7.5 percent or higher

Try a different medication: If you want to keep taking a weight-loss medication but the cost or side effects make GLP-1s a no-go, there are other options out there such as Qsymia and Contrave and your clinician may be able to recommend and prescribe a different weight-loss medication