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If you've been prescribed metformin, you deserve to understand exactly what it's doing inside your body.

In this episode, Robby Barbaro explains the science behind metformin, why it primarily lowers blood sugar by reducing glucose production from the liver, and why lowering blood sugar is not the same as reversing insulin resistance. You'll learn how metformin fits into diabetes care, what it can and cannot do, and why addressing the root cause of insulin resistance is essential for long-term health.

You'll also hear the latest research comparing metformin with intensive lifestyle intervention, learn why vitamin B12 monitoring matters for anyone taking metformin long term, and discover inspiring stories of people who dramatically improved their A1C through nutrition, movement, and medically supervised care.

In this episode, you'll learn:

• How metformin lowers blood sugar by reducing glucose production in the liver
• Why lowering blood sugar is different from reversing insulin resistance
• The three root causes of insulin resistance and which one metformin actually addresses
• Why fat inside your muscle and liver cells plays a central role in insulin resistance
• What research says about metformin compared with intensive lifestyle intervention
• Why lifestyle change was nearly twice as effective as metformin in the Diabetes Prevention Program
• The importance of monitoring vitamin B12 levels during long-term metformin use
• How walking for just 10 to 15 minutes after meals can significantly improve blood sugar
• How Rhonda lowered her A1C from 10.9% to 5.5% while working with her healthcare team
• How cardiologist Dr. Ace Yunis lowered his A1C from 10.8% to 5.9% and safely discontinued metformin under medical supervision

This episode isn't about choosing medication or lifestyle.

It's about understanding what metformin does, what it doesn't do, and why addressing the root cause of insulin resistance gives you the greatest opportunity to improve your health. Whether you're newly diagnosed or have been taking metformin for years, this episode will help you better understand your options and have more informed conversations with your healthcare team.

Keep your carbs high and your A1C low.