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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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