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Victoza isn't the first drug of choice if one merely wants to lower their A1C. Metformin will do the same thing and is much, much safer... and used daily by millions. Your endo will determine what is right for you. The most common dose is 500mg 1tab/twice daily.

My bariatric surgeon told me that after my surgery that I no longer need to take Metformin. (I am not diabetic, btw; and my A1C never rose above 5.8 ... thanks to the Metformin I took pre-surgery.)

Metformin also affects hunger. Many people lose weight from it as a bonus. It's not the reason why doctors prescribe it, though.

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The reason I mentioned A1-C is because it may indicate a co-morbidity that their insurance would cover treatment for.

GLP-1 agonists such as Saxenda and Victoza are approved for weight loss, in higher doses, with the side benefit of reducing A1-C levels.

Personally, if my BMI was in the low thirties, I would seriously consider medical weight loss alternatives vs. surgery.

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Hi, I'm in the UK so think the rules may be different here but my BMI is 32 and I've just had a band fitted. I wasnt able to get this on the NHS (our miracle healthcare system) because of my low BMI so I took out a bank loan to pay for the op myself. Here if your BMI is over 30 you are eligible but there has to be genuine reasons for you wanting to go down this route. For me, I was similar to yourself and have tried every diet in the book to no avail. My weight yo-yo'd for around 15 years and once I turned 30 I just got heavier and heavier despite my attempts to lose weight. I know my problem is my relationship with food so for me the band will eventually allow me to eat what I want but I will only be able to physically eat so much of it before I am sick. I need this kind of control. I had to sign a consent form as this wasn't a medical referral but a medical choice. I have recently been diagnosed with arthritis and believe if I don't take my weight under control that my condition will get worse. I'm also leaving myself open to diabetes and this is something I don't want in my future. My doctors accepted these as valid reasons and I was able to get the band. I'm sorry I really don't know too much about US healthcare so I'm unsure if any of this is helpful! Best of luck x

Sent from my HTC U11 using BariatricPal mobile app

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    • AshAsh1

      So I'm having a really really really crappy day. Crappy month really.  My husbands been off work for 2 months with an injury and I've been picking up all the slack with everything. And while, I'm happy to step up to the plate and do these things, I'm getting worn out, physically and mentally. And we went to the doctor today that just pushed his recovery time out for another 2 months.
      The reason I tell you all this......
      I bought twizzlers from the vending machine... and I've been nibbling on them.....
      So much for a lifestyle change *cry face*
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      · 6 replies
      1. AshAsh1

        Thank you! I'm trying to keep positive and know that even the healthiest of people have weak moments.

      2. Matt Z

        Are you binge eating those snacks?
        Are you way over your calorie counts?

        I'm going to go out on a limb and say "no".
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        Forgive yourself.
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        You are a rock star!

      3. AshAsh1

        Thank you Matt.

        You are right, I'm not binging by any means. I guess what upsets me is that I bought it, not because I was craving something sweet or because I was hungry. I bought them because I thought it would emotionally make me feel better. Which it didn't, which is a good thing, because I know now that not only I shouldn't turn to food, but it doesn't work anymore.

        You are a great friend. Thanks again for the words of encouragement and understanding.

      4. Matt Z

        I get where the "upset" is coming from, but that revelation should show you that you've really made MASSIVE changes to your entire lifestyle.

        The simple fact that you are on here, talking about how upset eating some Twizzlers made you... is more than enough proof that you are doing the right things.

        Allow the concession and smile. That old Ash is gone.

      5. sillykitty

        Hi Ash ...

        Sorry you are having the crappy month :(

        I agree with Matt, that one vending machine purchase does not undo the tremendous success you have had, and the lifestyle changes you have made. And even better yet, you learned that food doesn't give you the comfort it once did.

        We are way harder on ourselves than we would be on anyone else!

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    • fmellnick

      So i'm new to this! Came across this site trying to figure out if my hungry self can eat pasta two weeks post op! (Of course I know this wont be a good idea lol) But Im glad I found it because I for sure need some support from people who are going though the same thing! So i'm two weeks post op and I feel like the first week great! I lost 16 lbs that week....but this week I have only lost 3 pounds!  What i'm I doing wrong?! And NOOOOO I havent been eating solids....regardless the pasta comment lol Im still on liquids. Hummmmm...TBC
      · 4 replies
      1. Orchids&Dragons

        Welcome to the site, I'm sure you'll get lots of helpful insights here. Just so you know - status posts don't usually get many responses. If you'd like to hear from several people, it is best to start a thread (post a topic).

        And, you're right, pasta would be a really bad idea :o

      2. fmellnick

        Thank you so much! :) Good thing you told me this site is weird to get around lol

      3. Orchids&Dragons

        Yes, it's definitely not intuitive. I will also warn you that posts about foods that you know you shouldn't eat sometimes elicit "over-the-top" responses. This is a religion for some people and they may not get that you were joking.

      4. fmellnick

        Oh man! Youre the best thanks for the heads up! :)

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