Just do it Jeff. You'd be amazed at what meds you can drop/cut just by eating right and dumping a bit of weight. I don't know if you're full on type 2, sounds like it. Trulicity/duplaglutide sound similiar to semaglutide. I wonder if they have the same mechanism and effect on appetite? I lost 30 lbs in about 4.5 months using semaglutide.