First: Kudos out to frequent commenter "Paleo Newbe" MD, who continues to brave the [some] abuse, here. He has the difficult balancing act of being a rational doc, but also keeping his license. To my mind, this sort of thing needs to be encouraged. I salute him.
The reason for that, above, is to highlight the good work of my mom's doc, as differentiated from the advice nurse.
The doctor is very pleased with my progress. He believes the problem is the Metformin. He kind of got after me for not contacting him sooner, when I started vomiting every day.
Anyway, I was taking 1,000 MG of Metforin in the morning and another 1,000 at night. He wants me to cut that in half and he wants me off it as soon as possible, but wants me to lose another 15 to 20 pounds. So that's my current goal.
I am going to try fasting, now. He thinks it's very good that I'm off the heart-burn meds, and the cholesterol meds.
He cut my blood pressure med in half. He believes that my blood pressure is weight related, so when I lose some more weight, we will try taking that away too. He will also change my prescription to the natural thyroid (Armour). He said he will also order the lipid test that Richard wants me to have.
Take responsibility for your own health, accumulate the knowledge Google provides you, and go forth. Any honest doctor will tell you: unless you have something really weird, it's not that hard.
I'll add: a paleo-like diet will give you a step up.