[Discussion] the formulary advice in here is 4 years out of date

private plan. That is the whole post, but I will justify it.

Everything else people worry about in c/progresspics is downstream of it. Titration speed, reflux, the endless dose arguments — most of it resolves if you sort private plan out first, and almost nobody does.

I say this having got it wrong for 16 months. My fasting insulin was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.