Congrats on your progress! I assume you still have metabolic syndrome (have you gotten your fasting insulin tested? What's a shame is most doctors test that, wh

Congrats on your progress! I assume you still have metabolic syndrome (have you gotten your fasting insulin tested? What's a shame is most doctors test that, which is a $30 assay and the only way to calculate HOMA-IR or QUICKI IR estimates). While I can't disagree w/ Metformin/Berberine being effective for glucose control, I personally don't think that they aren't great long term for the dysbiosis, B12-deficiency (for metformin) and toxicity (for Berberine) effects... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478780/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478780/ Most people that haven't long-term diabetic (eg, completely destroyed beta cells) should be able to get their health back in order via primarily dietary interventions, although it may require some detective work (conscientious dietary, blood work, body composition tracking). Some of the hypertension may require addressing the IR, which can just take time to resolve: https://www.ncbi.nlm.nih.gov/m/pubmed/3299096/ https://www.ncbi.nlm.nih.gov/m/pubmed/3299096/ Some of it may also be insuring adequate electrolytes, most people are much too low on ketogenic diets: https://blog.virtahealth.com/sodium-potassium-magnesium-ketogenic-diet/ https://blog.virtahealth.com/sodium-potassium-magnesium-keto... I think waist:height ratio is definitely the best home measurement, but hopefully you're getting good supporting bloodwork as well, which can be very helpful in helping diagnosing problem areas. Also I found DXA and RER testing to be personally quite useful as well, especially for tracking progress on visceral fat (I took off 25% of my body weight off starting last summer). Good luck!