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Relying exclusively on A1C can miss many cases

Downs, C.A., Fauth, J.E., Halas, J.C., Dustan, P., Bemiss, J., Woodley, C.M

By that 12 weeks, the participants had already lost an average of 6.9% of their body weight on their own

Both will get you to the other side, but they operate on entirely different principles, move at vastly different speeds, and are suited for very different purposes