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What should I do if my weight loss plateaus

for example, using the modified Framingham criteria to diagnose heart failure

9,10,11 Advancing to Dual Therapy If monotherapy with the maximized dose of metformin fails to achieve the desired A1C goal within about 3 months, the following actions can be taken: (1) add a second oral agent, (2) add a glucagon-like peptide 1 (GLP-1) receptor agonist (injection), or (3) add basal insulin

For many patients, this makes the process less intimidating and far more convenient

Inform patients that management requires implementing a long-term plan, setting realistic weight goals, and overcoming ongoing challenges of weight maintenance