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At last in the British Medical Journal !!
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<blockquote data-quote="Southport GP" data-source="post: 914643" data-attributes="member: 74036"><p>As regards Metformin as you read in my paper one big study thought it very helpful but another large French study really wasn't so sure Personally I would always give a patient the option of weight loss FIRST before starting Metformin I have been doing this for nearly three years now and not one patient has opted for medication. Not sure about the idea of treating diabetes I prefer the idea of controll as stopping either drugs of the diet will see blood sugars rising again.</p><p></p><p>Correct HCPs are often resistant to this approach partly because it's not in the guidelines - but weight loss is in them -and this is a valid choice for weight loss as I will show in my next publication due out this September </p><p></p><p>The drop in cholesterol is interesting in that many folk worry about a diet higher in fat Yet despite this very diet AND stopping statins the cholesterol showed (a very modest) improvement</p></blockquote><p></p>
[QUOTE="Southport GP, post: 914643, member: 74036"] As regards Metformin as you read in my paper one big study thought it very helpful but another large French study really wasn't so sure Personally I would always give a patient the option of weight loss FIRST before starting Metformin I have been doing this for nearly three years now and not one patient has opted for medication. Not sure about the idea of treating diabetes I prefer the idea of controll as stopping either drugs of the diet will see blood sugars rising again. Correct HCPs are often resistant to this approach partly because it's not in the guidelines - but weight loss is in them -and this is a valid choice for weight loss as I will show in my next publication due out this September The drop in cholesterol is interesting in that many folk worry about a diet higher in fat Yet despite this very diet AND stopping statins the cholesterol showed (a very modest) improvement [/QUOTE]
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