Originally my doctor proposed ozempic and I said no. Despite metformin plus insulin my A1c stayed above 14, morning sugar never below 250. She then offered Mounjaro, and I finally agreed. Fear made me read up and join a few support groups. Twelve months on, I weigh 120 lbs and hold steady. A1c is now a normal 5.4, lower than it has been in years. Ive learned to eat better and it all helped: cholesterol is good, blood pressure finally normalized, and inflammation dropped. Heavy and with a bad back, I needed a cane and brace; today a two mile walk barely hurts and I even work out. Work out your TDEE to learn your calorie target and stay under it, hydrate well (electrolytes too), eat enough protein, and try a tracking app.