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Three to six months of concerted effort to make the following changes should be initiated as soon as you become aware that you have, or are at risk for, diabetes: 1) lose weight (if overweight or obese), 2) shift to a healthy, Mediterranean-style or other plant-based diet , 3) increase physical activity and exercise , and 4) incorporate an evidence-based regimen of targeted nutrient supplementation to promote healthy glucose metabolism (see section 14 of this Protocol)
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In the case of individuals intending to conceive, the use of metformin may be continued until pregnancy is confirmed, whereas for those not actively pursuing pregnancy, metformin may be administered until normalization of glucose regulation is achieved
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