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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

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Semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro) are synthetic GLP-1 receptor agonists