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[quote=Anonymous][quote=Anonymous]You need to start with a doctor and a full blood workup. It's possible, even likely, based on what you describe that you may have Type 2 diabetes or are at least pre-diabetes. You almost certainly have metabolic syndrome and a fatty liver.

Once you have the blood work you can create targets. You'll want to get your sugar and A1C down if you have diabetes. You can do this through a combination of eating better, moving more and maybe medications like insulin or a GLP-1 like Ozempic.

I have lost 45 pounds since February since getting the diabetes diagnosis doing the above. What works for me:

-- Writing down everything I eat in an app. Every meal. No heating.
-- Aiming for under 125 carbs a day total. This isn't keto -- it's more reasonable than that. But forces you to be more mindful of what you're eating.
-- Along those lines, eating at least 30 grams of fiber.
-- More vegetables. Some fruits, although you have to be a little careful with fruit because it can spike your blood sugar. Like, don't eat a banana.
-- Keeping calories to between 1,500 and 1,800 a day.
-- No alcohol or sugar at all. At ALL.
-- Walking 4-6 miles per day. I usually do at least one 45-minute brisk walk.

You didn't get this way overnight. It will take months, if not years, to correct. Be good to yourself. But having reachable goals will help.  Mine was to get my A1C down from 9. I did that -- it was 6 at my last appointment.  My fasting glucose now most days is about 95-100. It's how I know I am maintaining.

I just started on Ozempic. The doc is taking me off the insulin. She says once that happens, the weight loss will accelerate.

BTW I started out at 285. My goal is 185.[/quote]

This seems like extremely fast weight loss. [/quote]

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