Amazing A1C Results!

been on mounjaro 2 years - started 296, now 195 at 42f. stuck below 190. doc added 500mg metformin xr once daily to help. took first pill yesterday + shot today. anyone else using this combo?
 
Starting at 13 leaves a lot of room for a dramatic improvement on the first recheck - the drop usually surprises people.
 
The radiologist-ordering-labs workaround is creative but ultimately not sustainable as a primary care structure - a good endocrinologist would transform the A1C trajectory work you are already doing. Worth putting real effort into finding one who actually manages metabolic disease rather than just reviewing results.
 
Yeah, compound sema maxing out at 2.5 and then switching to compound tirz at 10 and titrating up is a pretty standard progression when sema hits its ceiling. The OP's A1C drop in three months on sema is the direct result of what happens to glucose when appetite suppression reduces intake consistently. What's the A1C story been since the tirz switch?
 
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