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Keep an Eye on Progress Try using tools like journals, photos, or body scanners to track your journey outside of just measuring weight

Adding berberinewhich also lowers glucose through AMPK activationcreates a cumulative metabolic effect that theoretically increases the risk of hypoglycemia (dangerously low blood sugar) in susceptible patients

Given that weight control and a low risk of hypoglycaemia are key considerations for this patient, the addition of a GLP-1RA may be the most appropriate choice