When a diagnosis of insulin resistance or metabolic syndrome is given, patients often want to know which is more effective: lifestyle or metformin.
The NEJM published landmark research in 2002 showed that lifestyle is clearly more effective IF it involves intense lifestyle changes. This included 1-on-1 training for 6 months, a 7% weight loss, and over 150 minutes per week. We also found that HIIT, resistance training, and low carb diets are also especially effective for preventing diabetes, heart attack, stroke, erectile dysfunction, and dementia.
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