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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

Esterbauer H, Cheeseman KH (1990) Determination of aldehydic lipid peroxidation products: malonaldehyde and 4-hydroxynonenal

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Been to the er 6 times and the hospital once