Good question! Honestly, it was mostly the dose increase. I was already trying to eat healthier and move more, but the higher dose seemed to kickstart things again.
Update for those who asked! I posted this a while back:
I'm about 11 months in, lost about 25% of my starting weight (around 73 pounds). My blood sugar is great now, A1c is at 5.8 last time I checked. No issues with diabetes, I am really happy!
Alright everyone, I made it! Started this journey around early March last year weighing 220lbs. As of today, March 12th, I'm officially at 135lbs! Feels amazing!