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Metformin may be continued or initiated if appropriate, in line with NICE guidance

According to VivioMD's website, the process starts with a brief online health assessment where you provide information about your medical history, health goals, and current medications

We have achieved significant success in discontinuing this medication without experiencing weight regain and, in many cases, even witnessing further weight loss
Some participants reported substantial improvement, others reported modest improvement, and a smaller group reported little change

As the potency of GLP-1s increases, the conversation around lifestyle interventions is fundamentally changing

This insight helps providers adjust dose timing, combination therapies, or complementary strategies based on your genetic predispositions