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<blockquote data-quote="HSSS" data-source="post: 2115370" data-attributes="member: 480869"><p>Despite my earlier comments I too am very glad to see a gp seeking more knowledge and wholeheartedly agree with [USER=401801]@JoKalsbeek[/USER] and [USER=41816]@Brunneria[/USER] in welcoming you. </p><p></p><p>Losing the fat around your organs will have improved your insulin response for sure and reducing the demand for it will have lowered the circulating insulin which as t2 will most likely have been very high previously. But you have to remember how you got those organs covered in fat and gained the weight first off - your metabolic inability to correctly process the carbs. Previously you may have somewhat mitigated this with the exercise but the problem was still there. </p><p></p><p></p><p>Taking the metformin and resuming carbs is pretty much the route many are advised to take and that’s what makes the disease progressive. You continue to tax a flawed system, you continue to bathe your cells in insulin, you continue to demand high levels of insulin from your pancreas. The metformin will help a little sure but it can’t fight the battle alone. Gradually over time the insulin resistance gets worse and worse, the meds get ever stronger til you end up on insulin forever trying to pump in more and more to overcome the resistance. Maybe in time your pancreas gives up”worn out” so to speak. </p><p></p><p>I understand metformin is designed to work with a suitable diet not in place of it. Most here find it’s effects are minimal without the diet. Most here find that keeping the carbs down (even if not seeking to lose weight ie not dieting in the traditional sense) is far more effective and beneficial and a great deal of those either never, no longer take metformin. Some do find it is beneficial in addition to the way of eating. Because it is a way of eating, not a weight loss diet, for good. The underlying issue is still there and will come back if you return to old ways of eating and weight gain as a result.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2115370, member: 480869"] Despite my earlier comments I too am very glad to see a gp seeking more knowledge and wholeheartedly agree with [USER=401801]@JoKalsbeek[/USER] and [USER=41816]@Brunneria[/USER] in welcoming you. Losing the fat around your organs will have improved your insulin response for sure and reducing the demand for it will have lowered the circulating insulin which as t2 will most likely have been very high previously. But you have to remember how you got those organs covered in fat and gained the weight first off - your metabolic inability to correctly process the carbs. Previously you may have somewhat mitigated this with the exercise but the problem was still there. Taking the metformin and resuming carbs is pretty much the route many are advised to take and that’s what makes the disease progressive. You continue to tax a flawed system, you continue to bathe your cells in insulin, you continue to demand high levels of insulin from your pancreas. The metformin will help a little sure but it can’t fight the battle alone. Gradually over time the insulin resistance gets worse and worse, the meds get ever stronger til you end up on insulin forever trying to pump in more and more to overcome the resistance. Maybe in time your pancreas gives up”worn out” so to speak. I understand metformin is designed to work with a suitable diet not in place of it. Most here find it’s effects are minimal without the diet. Most here find that keeping the carbs down (even if not seeking to lose weight ie not dieting in the traditional sense) is far more effective and beneficial and a great deal of those either never, no longer take metformin. Some do find it is beneficial in addition to the way of eating. Because it is a way of eating, not a weight loss diet, for good. The underlying issue is still there and will come back if you return to old ways of eating and weight gain as a result. [/QUOTE]
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