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Metformin works by inhibiting the production of glucose in our liver, and by also increasing our sensitivity to insulin

It dramatically increases the risk of severe nausea, vomiting, and other GI side effects without improving efficacy

The dual agonist approach represented by tirzepatide demonstrates that activating multiple complementary pathways produces superior results to targeting a single pathway, even when that single pathway works quite well on its own

This inhibits insulin sensitivity and alters energy uptake to your tissues

Step 2: Assess Diet Honestly Track food intake for one week with complete accuracy

Its finer gradations make accurate measurement much easier