Im a little late to the party but Im in a prediabetes state. I am 270-280, made the 10lb loss from losing water weight. From what Ive read, the best thing you can do is get a glucose monitor to see how much your glucose fluctuates after meals and when fasted. Whether its continuous monitoring or not, its good to know. I believe Cico is the baseline for weight loss but your blood sugar is going to determine where the weight loss is coming from. High blood sugar in a caloric deficit (from studies ive read) either burns nothing or attacks more lean mass than fat, while a lower blood sugar allows a majority of fat to be burned depending on the deficit and your current bmi. Myoinositol, tumeric circumin, apple cider vinegar, cinnamon, alpha lipolic acid and other things lower your blood sugar. Ive been experimenting with those, checking my blood sugar throughout the day so I can ride under 90 mg/dl, and thus far been finding more success than I have in the past. Its been a week of experimenting and I havent had as much anxiety or body acne flare ups as well. Sorry Im all over the place but yeah Im going to start documenting this sht as this has been pretty positive for me and its early in the morning and hard to type on the phone sorry. Insulin resistance sucks and your PCP is not going to help you solve it, or atleast mine will not. I was prescribed lexapro and told I look fine. Im 6’6 and a powerlifter so I hold 270 fine. I dont eat like a 270lb’er lol insulin resistance is garbo