I battle it with diet. I eat very little and even then I’m borderline with metabolic issues.
I’ve tried Metformin twice and both times the side effects were awful. When my GP suggested for a 3rd time that I try metformin I said if you’re going to make me take it I’m going to see a different dr.
What’s interesting is that the GP wanted to medicate me but my endocrinologist is happy to just monitor.