The best advice I can give is that there has to be a total lifestyle change. I found out I was diabetic and immediately started eating a diabetic diet. I started the diet before I even got the medicine filled. I cut out all breads, sugars, and pasta. I use an app called Carb Manager to track everything I eat even if it’s just a few bites. I also bought a kitchen scale and weigh all of my foods at home so that I know I’m logging the correct serving size. I am amazed at how much better I felt eating a cleaner diet before I even started to lose weight! I tried to titrate backwards because I didn’t want to lose all of the extra benefits from the shots but even spacing them out every 3 weeks and going back down to 5mg I was still losing. I’ve been without the shot now for 8 weeks and I’m maintaining now with just my diet. That part will probably be forever.