GLP-1 medication for weight loss in pre-diabetes

My HA1C is at 5.4 (likely pre-diabetic), I'm overweight with belly fat. Not on any meds, but I'm contemplating trying low dose of GLP to help lose 20-30 pounds & then maintain once I'm closer to my ideal weight. Should I start with calorie restriction/intermittent fasting before going down GLP path?

Would strongly advice a full-throttle effort at weight reduction by diet and exercise FIRST for at least 4-6 months (The South asian Heart Center Coaching program may be a perfect “hand holder” for you to get help). Such lifestyle change will serve you well long term, regardless. I would LATER (after 6 months) consider medication use (based on more clinical details in close consultation with your primary care doctor). I would definitely NOT use any medications from compounding companies (without an ongoing relationship with a primary care physician) Medications in this class, while having great weight loss and cardio-protective data, also have other issues and side effect profiles that are troubling and need careful supervision. Keep us posted of your weight loss journey and do consider joining the next Podcast from the South Asian Heart Center and /or contacting them for help

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