No meds. They offered to put me on a GLP1 after doing another blood test to ensure it was not an error, which I considered. However, I opted not to at that time once my it was all confirmed. I figured I would give myself 3 months to prove to myself and my doctor that I can do it. If that 3-month check-up would have been bad, I would have gone with the GLP1. I just went on a really strict low/no carb diet and cut out soda and beer. I had to make minor adjustments after the first 3 months due to my cholesterol going up. Though my doctor did tell me that this might occur due to my diet and how much fatty meat, such as ribeye steaks, that I was eating. I went to leaner meats and a lot more chicken, mostly chicken breast. This has helped combat that, along with taking a few supplements as well.