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My joints are starting to be affected, though, so Id like to work on weight loss, but it feels impossible without my insurance covering something like this

Patients typically regained approximately two thirds of the weight they had lost within a year of stopping using the medication (1,3)

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In contrast, dietary fiber supplementation typically produces A1c reductions of 0.2-0.5% in systematic reviews, while berberine studies have shown variable reductions of approximately 0.5-1.0%, though many studies have methodological limitations