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Focus on maintaining a balanced diet with controlled carbohydrate portions, regular physical activity (aiming for at least 150 minutes of moderate-intensity exercise weekly, as recommended by UK Chief Medical Officers' guidelines), and weight management strategies

When both medications are started together, your provider usually begins with lower doses of semaglutide while using your established metformin regimen, gradually increasing semaglutide based on tolerability and metabolic response

The cycle may be repeated on a monthly basis

The fact that you are only charged if prescribed removes the risk of paying for a consultation that goes nowhere