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Metformin nudges the system by improving sensitivity and dialing down glucose production, but again it does not remove the root driver if diet and environment are unchanged

It plays a role in how the body breaks down carbohydrates and fats

Consider switching to a non-oral contraceptive method (such as an IUD, patch, or implant), or use an additional barrier method (such as condoms) for at least 4 weeks after starting semaglutide and for at least 4 weeks after each dose increase