[jcims]

Awesome suggestions thank you. I had to go to Care Oncology to get a metformin prescription which just arrived at the house today.

I tried going the A1C route to justify intervention but anemia and transfusions both push A1C low. I also just got a prescription for a Freestyle Libre to monitor blood glucose.

We’ve never got quite to the level of ketogenic but have tried focusing on fats and proteins for calories and keeping carbs between 50-100/day.