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He tried keto dieting and exercising but didnt see substantial changes

For example, one small study observed 25 women with polycystic ovary syndrome (PCOS) who stopped Ozempic but who continued taking metformin , another diabetes medication that can be used off-label to treat certain conditions

Set protein targets based on your weight and activity level, adding 10-20 grams on days when you train harder

However, because of their lesser magnitude of glucose lowering, they are prescribed more commonly as an addition to another type of medicine rather than as monotherapy: Metformin: First-line therapy that decreases hepatic glucose output