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Glatter: Additional approaches to lose weight and manage cardiometabolic aspects of obesity include adherence to the Mediterranean, DASH, or MIND diet, along with adequate strength training, close monitoring of hydration status, and caloric intake to maintain and prevent muscle loss, particularly while taking a GLP-1
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The goal is to support patients and clinicians in making informed treatment decisions based on a careful risk-benefit profile
Evidence-Based Non-Drug Options That Work With Medi-Cal limiting weight-loss GLP-1 coverage, lifestyle medicine becomes the foundation: Plant-forward nutrition to improve insulin sensitivity Resistance training to protect lean mass and metabolism Sleep & stress care to reduce cortisol and glucose variability These strategies are core to our metabolic services: Prediabetes Reversal (12 weeks) Sleep Apnea & Weight care (HSAT + CPAP when indicated) MASLD (fatty liver) care All are designed to improve A1C, BP, lipids, and weight without relying solely on medications
In less critical scenarios, the safest approach is to wait for data
We recognize that not everyone suffering from age-related hormone decline has the same set of symptoms or the same health goals
