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I use a natural alternative called Berberine. I've been seeing great results from it. it also modifies p53, clamps glucose, is anti-cancer, anti-tumor. But if you can get your doc to prescribe metformin, perhaps it will be cheaper to use insurance.

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Berberine is great but I can't sleep if I take it late in the day. I have to take it first thing in the morning, and even then it's quite powerful in its hunger-inducing effect.

I've not had a hunger affect from it, but I do avoid taking it in the evening. I take it early in the morning, then mid morning and afternoon. It took a couple months to get used to it.

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