Can I Take Ozempic and Metformin at the Same Time? A Synergistic Approach to Diabetes and Weight Management

Managing a chronic condition like type 2 diabetes often involves navigating complex decisions about lifestyle changes, dietary choices, and medication regimens. For many, achieving optimal blood sugar control and sustainable weight loss feels like an uphill battle, even with consistent effort. It’s a common and valid question to wonder if combining therapies could offer a more comprehensive solution. When medications like Metformin and Ozempic are part of the conversation, understanding their individual roles and how they might work together becomes crucial for effective management.

At TrimRx, our journey began with a shared vision: to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand that finding the right approach requires detailed information and personalized care. This post will delve into the scientific mechanisms of Metformin and Ozempic, explore the benefits and considerations of taking them together, and outline how such a combined approach can significantly impact blood sugar regulation, weight management, and overall health. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, and we are here to provide the insights you need.

By the end of this article, you will have a clear understanding of:

• The distinct ways Metformin and Ozempic work in your body.
• The compelling reasons why a healthcare provider might recommend taking Ozempic and Metformin at the same time.
• The potential benefits for blood sugar control, weight loss, and cardiovascular health.
• Important safety considerations, including common side effects and serious risks.
• The critical role of personalized, medically supervised care in optimizing your treatment plan.

We will guide you through this complex topic, ensuring you have the knowledge to have an informed conversation with your healthcare provider about your unique journey toward better health.

Understanding Type 2 Diabetes and the Need for Comprehensive Management

Type 2 diabetes is a chronic condition characterized by the body’s inability to effectively use insulin (insulin resistance) or to produce enough insulin to maintain normal blood glucose levels. This leads to elevated blood sugar, which over time can cause serious health complications affecting the heart, kidneys, nerves, and eyes.

For many individuals living with type 2 diabetes, managing blood sugar often requires more than just diet and exercise. The underlying physiological changes – from impaired insulin sensitivity to increased glucose production by the liver and a dysregulation of appetite hormones – often necessitate pharmaceutical intervention. While a single medication might initially be effective, the progressive nature of type 2 diabetes often means that a multi-faceted approach, incorporating different mechanisms of action, becomes necessary to achieve and maintain glycemic control. This is where combining medications can offer a significant advantage, addressing various aspects of the disease simultaneously.

At TrimRx, we recognize that each individual’s battle with type 2 diabetes and weight management is unique. Our approach is built on providing personalized, medically supervised care that integrates advanced medical science with modern technology. We create a user-friendly and supportive space, empowering individuals to achieve sustainable weight loss that is attainable and tailored to them. Our platform offers a comprehensive service that includes doctor consultations, medication, lab work, unlimited support, and convenient shipping, all with no hidden fees.

Metformin: The Foundation of Diabetes Care

Metformin stands as a cornerstone in the treatment of type 2 diabetes, often being the first medication prescribed upon diagnosis. Its history dates back to the 1950s, establishing it as a well-understood and widely utilized oral medication.

How Metformin Works in Your Body

Metformin primarily belongs to a class of drugs called biguanides and exerts its effects through several key mechanisms:

• Decreasing Hepatic Glucose Production: One of Metformin’s main actions is to reduce the amount of glucose produced by the liver. In type 2 diabetes, the liver can produce too much glucose, especially overnight, contributing to high fasting blood sugar levels. Metformin helps to normalize this process.
• Improving Insulin Sensitivity: Metformin enhances the sensitivity of muscle cells to insulin. This means the body’s existing insulin can work more effectively to move glucose from the bloodstream into cells for energy, thereby lowering blood sugar levels.
• Modulating Glucose Absorption: It also plays a minor role in reducing the absorption of glucose from the gut, further contributing to lower post-meal blood sugar levels.

What makes Metformin particularly appealing as a first-line therapy is its efficacy in lowering A1C (a measure of average blood sugar over two to three months) without typically causing hypoglycemia (low blood sugar) when taken alone. It’s usually taken as a pill, once or twice daily, often with meals to minimize digestive side effects.

Common Side Effects and Safety Profile

While generally well-tolerated, Metformin’s most common side effects are gastrointestinal in nature. These can include nausea, diarrhea, vomiting, abdominal discomfort, and flatulence. These symptoms usually occur when starting the medication or increasing the dose and often improve within a few weeks as the body adjusts. Taking Metformin with food can help mitigate these effects.

It’s important to be aware of the rare but serious risk of lactic acidosis, a condition where too much lactic acid builds up in the blood. This risk is higher in individuals with kidney problems, liver impairment, heart failure, those who are severely dehydrated, or those who consume excessive alcohol. Healthcare providers carefully assess these risks before prescribing Metformin. Long-term use of Metformin may also be associated with a vitamin B12 deficiency in some individuals, which may necessitate supplementation.

Ozempic (Semaglutide): A Newer Approach to Blood Sugar and Weight Management

Ozempic, with its active ingredient semaglutide, represents a newer class of medications known as GLP-1 receptor agonists. It has rapidly gained prominence for its dual benefits in managing type 2 diabetes and supporting weight loss.

The Science Behind Ozempic (Semaglutide)

Ozempic works by mimicking the action of glucagon-like peptide-1 (GLP-1), a natural hormone produced in the gut in response to food intake. The mechanisms of action are multifaceted:

• Stimulating Insulin Release: When blood sugar levels are high, Ozempic prompts the pancreas to release more insulin. This is a glucose-dependent mechanism, meaning it primarily acts when needed, reducing the risk of hypoglycemia.
• Reducing Glucagon Secretion: It also decreases the secretion of glucagon, another hormone that raises blood sugar, particularly after meals.
• Slowing Gastric Emptying: Ozempic slows down the rate at which food leaves the stomach. This contributes to a feeling of fullness, reduces post-meal blood sugar spikes, and helps regulate appetite.
• Reducing Appetite: By acting on hunger centers in the brain, Ozempic helps to reduce overall appetite and food cravings, which is a significant factor in its weight loss effects.

Ozempic is FDA-approved for the management of type 2 diabetes and is also indicated to reduce the risk of major adverse cardiovascular events (like heart attack or stroke) in adults with type 2 diabetes and established cardiovascular disease. It is administered as a weekly injection using a pre-filled pen device, making it a convenient option for many.

Weight Loss Effects and Other Semaglutide Options

While Ozempic is primarily approved for type 2 diabetes, its effects on appetite reduction and delayed gastric emptying often lead to notable weight loss. For individuals specifically seeking weight management, a higher-dose formulation of semaglutide, Wegovy®, is FDA-approved for chronic weight management in adults with obesity or overweight with at least one weight-related comorbidity.

At TrimRx, our personalized weight loss programs feature a range of effective options, including Ozempic, as well as compounded semaglutide and oral semaglutide, among others. These options are part of our comprehensive, medically supervised approach to help individuals achieve their weight loss goals safely and effectively. To determine if you qualify for these prescription medications and to receive a personalized treatment plan, we invite you to take our free assessment quiz.

Common Side Effects and Safety Profile

Similar to Metformin, Ozempic can cause gastrointestinal side effects such as nausea, vomiting, diarrhea, constipation, and abdominal pain. These symptoms are generally mild to moderate and tend to diminish over time as the body adjusts to the medication. Starting with the lowest dose and gradually increasing it can help minimize these effects.

Ozempic carries a “boxed warning” regarding the risk of thyroid C-cell tumors based on animal studies. It is not known if it causes thyroid cancer in humans, but it should not be used in individuals with a personal or family history of medullary thyroid carcinoma or those with multiple endocrine neoplasia syndrome type 2 (MEN2). Other serious, though less common, risks include pancreatitis and gallbladder problems. Your healthcare provider will review your medical history thoroughly to ensure Ozempic is an appropriate treatment for you.

Can You Take Ozempic and Metformin at the Same Time? The Synergistic Approach

This is a frequently asked question, and the answer is yes, Metformin and Ozempic can be taken together. In fact, for many individuals with type 2 diabetes, this combination proves to be a powerful and effective strategy for enhanced blood sugar control and significant weight management benefits. The two medications, while both targeting type 2 diabetes, work through distinct and complementary pathways, creating a synergistic effect that often yields better results than either medication alone.

Why the Combination Works So Well

Imagine your body’s glucose regulation system as a complex orchestra. Metformin and Ozempic act as different sections, each playing a vital role to create a harmonious outcome:

• Complementary Mechanisms: Metformin addresses insulin resistance and reduces glucose production in the liver, essentially helping your body use its existing insulin more efficiently. Ozempic, on the other hand, stimulates insulin production specifically when blood sugar is high, slows digestion, and directly influences appetite. This means you have one medication tackling core issues of insulin sensitivity and liver glucose output, while the other fine-tunes insulin secretion and manages crucial aspects of digestion and satiety.
• Comprehensive Blood Sugar Control: When combined, these medications provide a more robust approach to managing hyperglycemia. Metformin lays a foundational improvement in how your body handles glucose, while Ozempic adds a layer of dynamic response to blood sugar fluctuations and an overall reduction in glucose levels. Many individuals find that this duo leads to more stable blood sugar readings throughout the day and a more effective reduction in A1C levels compared to monotherapy. Studies have shown that adding a GLP-1 receptor agonist like semaglutide to Metformin can lead to an additional 1-2% reduction in A1C for many patients, translating to a significantly lower risk of diabetes-related complications over time.
• Enhanced Weight Loss: The combination also creates a more potent effect on weight loss. Metformin can lead to modest weight loss, primarily through improved insulin sensitivity and a slight reduction in appetite. Ozempic, with its direct impact on satiety and gastric emptying, significantly boosts this effect. Together, they can lead to greater and more sustained weight reduction, with research indicating an additional 4-6% reduction in body weight when Ozempic is added to Metformin. This “tag-team” approach addresses weight from multiple angles, leading to better outcomes for many who have struggled with weight loss on Metformin alone.

This dual approach is particularly beneficial for individuals whose diabetes is not adequately controlled with Metformin alone, or those who could benefit from additional weight management support. It’s a strategy that exemplifies how a personalized, medically supervised plan can truly transform health outcomes.

Combined Benefits Beyond Blood Sugar Control

The synergy between Ozempic and Metformin extends beyond simply improving blood sugar levels, offering a range of benefits that contribute to overall metabolic health and well-being.

Significant Impact on Weight Management

The combined effect of Metformin and Ozempic on weight loss is one of the most compelling reasons for their co-prescription. As we’ve explored, Metformin helps improve insulin sensitivity, which can indirectly aid in weight management by optimizing how the body processes carbohydrates and fats. Ozempic, however, is a more direct and powerful agent for weight reduction. It actively signals the brain to reduce hunger, delays stomach emptying so you feel fuller for longer, and decreases the desire for food.

When these two mechanisms are at play simultaneously, individuals often experience:

• Reduced Appetite and Cravings: Ozempic’s influence on GLP-1 pathways, coupled with Metformin’s potential to boost “anti-hunger” signals, helps curb cravings and reduces overall food intake. Many report feeling satisfied with smaller portions and less inclined to snack between meals.
• Improved Fat Metabolism: Metformin’s role in improving insulin sensitivity can positively influence how the body stores and utilizes fat, especially abdominal fat, which is metabolically more dangerous.
• Sustainable Weight Loss: For many, the combination provides the necessary support to initiate and sustain weight loss, which, in turn, can further improve insulin sensitivity, lower blood pressure, and reduce the risk of other weight-related health issues. This multi-pronged attack on weight management is a testament to the comprehensive care we champion at TrimRx.

For those on a weight loss journey, whether or not they are taking prescription medications, supporting your body with targeted supplements can be beneficial. Our GLP-1 Daily Support and Weight Loss Boost are quick-access supplements designed to complement your overall wellness during the weight loss process.

Cardioprotective Advantages

Beyond diabetes and weight, the combination of Metformin and Ozempic offers significant cardiovascular benefits:

• Ozempic’s Direct Cardiovascular Protection: Ozempic is FDA-approved to reduce the risk of major adverse cardiovascular events (like heart attack, stroke, or cardiovascular death) in adults with type 2 diabetes and established cardiovascular disease. This is a critical advantage for many patients.
• Indirect Benefits from Improved Metabolic Health: Both medications contribute to better heart health by improving blood sugar control, promoting weight loss, and often leading to reductions in blood pressure and cholesterol levels. These factors collectively lessen the strain on the cardiovascular system, reducing long-term risks associated with type 2 diabetes.

Addressing Metabolic Syndrome and Prediabetes

For individuals with metabolic syndrome or prediabetes, this combination can be particularly impactful. By addressing insulin resistance, improving glucose metabolism, and promoting weight loss, Metformin and Ozempic can help prevent the progression to full-blown type 2 diabetes and mitigate the various components of metabolic syndrome, such as high blood pressure and abnormal cholesterol levels. This proactive approach underscores the value of personalized medical intervention in preventing future health complications.

Navigating Potential Side Effects and Safety Concerns

While taking Ozempic and Metformin together can be highly effective, it is essential to be fully informed about potential side effects and safety considerations. Both medications can cause adverse effects, and when combined, some of these may be intensified. Thorough medical supervision is paramount to ensure patient safety and optimize treatment outcomes.

Common Side Effects: Gastrointestinal Issues

The most frequently reported side effects for both Metformin and Ozempic are gastrointestinal. When combined, these effects might become more pronounced for some individuals. These include:

• Nausea and Vomiting: Often experienced at the beginning of treatment or when increasing doses.
• Diarrhea: Can be persistent for some, especially with Metformin.
• Constipation: More commonly associated with Ozempic.
• Abdominal Pain and Bloating: General discomfort in the stomach area.

Strategies to mitigate these symptoms include:

• Gradual Dosing: Starting both medications at the lowest effective dose and slowly increasing them under medical guidance allows the body to adjust. Our medically supervised programs emphasize this careful titration.
• Taking with Food: Metformin should always be taken with meals, and consuming Ozempic around the same time as meals can also help.
• Hydration and Fiber: Staying well-hydrated and consuming a fiber-rich diet can help manage both diarrhea and constipation.

It is common for these symptoms to improve within a few weeks as your body acclimates to the medications. However, persistent or severe symptoms should always be discussed with your healthcare provider.

Serious Risks and Important Warnings

While most side effects are manageable, there are more serious risks associated with each medication that warrant careful attention:

Metformin Specific Risks:

• Lactic Acidosis: This is a rare but very serious condition that occurs when too much lactic acid builds up in the blood. Metformin carries a “black box warning” from the FDA about this risk. Symptoms can include unusual muscle pain, difficulty breathing, stomach pain, dizziness, and extreme tiredness. The risk is higher for individuals with impaired kidney or liver function, heart failure, severe dehydration, or heavy alcohol consumption.
• Vitamin B12 Deficiency: Long-term Metformin use can lead to reduced absorption of vitamin B12, potentially requiring supplementation.

Ozempic Specific Risks:

• Thyroid C-Cell Tumors: Ozempic also carries a “black box warning” due to the observation of thyroid C-cell tumors in animal studies. It’s not definitively known if this risk extends to humans. Therefore, Ozempic is contraindicated in individuals with a personal or family history of medullary thyroid carcinoma or in those with multiple endocrine neoplasia syndrome type 2 (MEN2).
• Pancreatitis: Inflammation of the pancreas has been reported with Ozempic use. Symptoms include severe, persistent abdominal pain, which may radiate to the back, with or without vomiting. Immediate medical attention is required if these symptoms occur.
• Gallbladder Problems: Gallstones or inflammation of the gallbladder have also been reported in some individuals using Ozempic.

Risks with Both or in Combination:

• Hypoglycemia (Low Blood Sugar): While Metformin alone rarely causes hypoglycemia, and Ozempic causes it only in a glucose-dependent manner, the risk significantly increases when these medications are combined with other diabetes drugs like insulin or sulfonylureas. Symptoms can include dizziness, confusion, sweating, and shakiness. Regular blood sugar monitoring is crucial to manage this risk.
• Dehydration: Severe gastrointestinal side effects (vomiting, diarrhea) can lead to dehydration, which can, in turn, increase the risk of lactic acidosis with Metformin.

Who Should Not Take This Combination?

This combined therapy is not suitable for everyone. Contraindications and precautions include:

• Type 1 Diabetes: Neither medication is used for type 1 diabetes.
• Allergies: Individuals with known allergies to Metformin, semaglutide, or any of their components.
• History of Specific Conditions: As mentioned, individuals with a history of medullary thyroid carcinoma, MEN2, or pancreatitis should generally avoid Ozempic. Those with severe kidney or liver impairment, metabolic acidosis, or severe heart failure should avoid Metformin.
• Pregnancy and Breastfeeding: These medications are typically not recommended during pregnancy or while breastfeeding.

Potential Drug Interactions

It’s crucial to inform your healthcare provider about all medications, supplements, and herbal remedies you are taking, as interactions can occur:

• Alcohol: Excessive alcohol consumption should be avoided with Metformin, as it can increase the risk of lactic acidosis. Alcohol can also impact blood sugar levels, which is a consideration with Ozempic.
• Other Diabetes Medications: Dosage adjustments for insulin or sulfonylureas may be necessary to prevent hypoglycemia when starting Ozempic or Metformin, or when combining them.
• Certain Medications: Metformin can interact with drugs like carbonic anhydrase inhibitors, cimetidine, and certain iodinated contrast agents, potentially increasing the risk of lactic acidosis. Ozempic can affect the absorption of other oral medications due to slowed gastric emptying.

Our commitment to safety is paramount. When you partner with TrimRx, our medically supervised programs ensure thorough doctor consultations and lab work to assess your suitability for medications. We work exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications, and we do not provide actual medical supervision. Our approach remains transparent and focused on your well-being, with unlimited support available throughout your journey. To explore if this combination or other personalized treatment options are right for you, we encourage you to take our free assessment quiz.

The Importance of Medical Supervision and Personalized Care

Embarking on a medication regimen that includes both Ozempic and Metformin is a significant step in managing type 2 diabetes and achieving weight loss goals. This is not a journey to undertake alone, but rather one that requires close collaboration with experienced healthcare professionals. The nuances of individual health profiles, potential interactions, and side effect management underscore the critical need for personalized and medically supervised care.

Tailoring Your Treatment Plan

Every individual’s body responds differently to medication. Factors such as your medical history, current health conditions, other medications you are taking, and your specific weight loss and blood sugar goals all play a vital role in determining the most appropriate and effective treatment plan. A healthcare provider will consider:

• Baseline Health Assessment: Comprehensive lab work, including A1C, kidney and liver function tests, and a thorough review of your medical history, is essential before starting any new medication combination.
• Gradual Titration: As discussed, slowly increasing the dosages of both medications minimizes side effects and allows your body to adapt safely. This careful titration must be guided by a professional.
• Ongoing Monitoring: Regular follow-up appointments, blood glucose monitoring, and A1C checks are crucial to assess the effectiveness of the treatment, make necessary adjustments, and monitor for any adverse effects.
• Lifestyle Integration: Medications work best when integrated with sustainable lifestyle changes, including diet and exercise. A personalized plan will often include guidance on these aspects to maximize results.

At TrimRx, our entire platform is designed around the principle of individualized care. Our journey began with a vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand that sustainable weight loss should be achieved through science, empathy, and a transparent approach. Our team believes in compassionate care that respects every individual’s unique journey, combining advanced medical science with modern technology.

Our Comprehensive Support System

When you choose TrimRx, you gain access to a comprehensive service designed to support you every step of the way:

• Expert Doctor Consultations: Our programs begin with thorough doctor consultations to determine your eligibility and discuss the most suitable treatment options, including whether taking Ozempic and Metformin at the same time is appropriate for you.
• Prescription Medication Access: For those who qualify, we provide access to medications like Ozempic, compounded semaglutide, oral semaglutide, and other GLP-1 receptor agonists, as well as Tirzepatide options like compounded Tirzepatide, oral Tirzepatide, Mounjaro®, and Zepbound®. We are committed to transparency, highlighting that our approach remains consistent regardless of dosage changes.
• Lab Work & Unlimited Support: Our service includes necessary lab work and unlimited support from our care team. We are there to answer your questions, address concerns, and guide you throughout your weight loss journey.
• Safety and Quality Assurance: We prioritize your safety by partnering exclusively with FDA-registered and inspected pharmacies for the shipping of your weight loss medications. It’s important to clarify that TrimRx partners with these pharmacies for medication shipping and does not provide actual medical supervision. We want to be clear that while branded medications like Ozempic and Zepbound are FDA-approved, compounded medications are not.
• Convenient Shipping: Your medication is shipped directly to you, making the process as convenient and discreet as possible. All these services are included with no hidden fees, ensuring a straightforward and supportive experience.

We believe that by providing clear information and unwavering support, we empower you to make informed decisions about your health. To find out if a personalized plan with prescription medications is right for you, we encourage you to take our free assessment quiz today.

Conclusion

The question of whether you can take Ozempic and Metformin at the same time is met with a resounding yes, often with significant benefits for individuals managing type 2 diabetes and seeking effective weight loss. This powerful combination leverages the distinct yet complementary mechanisms of each medication: Metformin addresses foundational insulin sensitivity and liver glucose production, while Ozempic dynamically regulates insulin, slows digestion, and profoundly influences appetite. Together, they create a synergistic effect, leading to enhanced blood sugar control, greater A1C reductions, and more pronounced, sustainable weight loss than either medication might achieve alone. Furthermore, the combined approach can offer substantial cardiovascular protective benefits, contributing to a more comprehensive improvement in overall health.

However, the efficacy of this combination is intricately linked to careful medical supervision. While the benefits are compelling, it is crucial to understand and manage potential side effects, particularly gastrointestinal issues, and to be aware of more serious, albeit rare, risks like lactic acidosis with Metformin and the boxed warning for thyroid C-cell tumors with Ozempic. Drug interactions and individual health conditions must be thoroughly assessed to ensure safety and tailor the most appropriate treatment plan.

At TrimRx, we are dedicated to providing a user-friendly and supportive space where individuals receive personalized, medically supervised care, designed to make sustainable weight loss attainable and tailored to the individual. Our comprehensive programs, offering medications like Ozempic alongside other semaglutide and tirzepatide options, are built upon the pillars of science, empathy, and transparency. We believe in empowering you with knowledge and supporting your journey with expert consultations, lab work, unlimited support, and safe, convenient access to medications from FDA-registered and inspected pharmacies.

Ready to explore how a personalized, medically supervised weight loss solution could transform your life? We invite you to take our free assessment quiz to see if you qualify for our prescription weight loss medications and receive a tailored treatment plan. If you’re looking for immediate support, explore our GLP-1 Daily Support and Weight Loss Boost quick-access supplements. Your path to a healthier, more vibrant you begins with informed choices and compassionate care.

Frequently Asked Questions

Can Ozempic and Metformin be taken at the same time for weight loss?

Yes, Ozempic and Metformin can be taken together to support weight loss, particularly in individuals with type 2 diabetes or those with obesity. While Metformin offers modest weight loss by improving insulin sensitivity, Ozempic has a more direct impact by reducing appetite and slowing gastric emptying. When combined under medical supervision, they can create a more powerful and sustained weight loss effect than either medication alone. This synergistic approach helps address multiple factors contributing to weight gain and difficulty losing weight.

What are the main differences between Ozempic and Metformin?

Ozempic (semaglutide) is an injectable GLP-1 receptor agonist that primarily works by mimicking a natural hormone to stimulate insulin release, reduce glucagon, slow digestion, and decrease appetite. It’s often used for type 2 diabetes and has significant weight loss effects. Metformin is an oral biguanide that primarily reduces glucose production by the liver and improves insulin sensitivity in cells. It is generally a first-line treatment for type 2 diabetes, with modest weight loss as a potential side effect. Both require a prescription and medical supervision.

How do I minimize side effects when taking both medications?

To minimize side effects, especially gastrointestinal issues, it’s crucial to follow your healthcare provider’s instructions carefully. This typically involves starting both medications at the lowest dose and gradually increasing them (titration) over several weeks, allowing your body time to adjust. Taking Metformin with meals is always recommended. Staying well-hydrated, maintaining a balanced diet rich in fiber, and avoiding overly greasy or sugary foods can also help. If side effects persist or are severe, communicate immediately with your healthcare provider for guidance and potential dosage adjustments.

How does TrimRx support individuals considering this combination?

At TrimRx, we offer personalized, medically supervised weight loss programs that may include medications like Ozempic, compounded semaglutide, and other options. Our comprehensive service includes initial doctor consultations, necessary lab work, unlimited support from our care team, and convenient medication shipping from FDA-registered and inspected pharmacies. We focus on creating a tailored treatment plan based on your unique health profile and goals, ensuring a transparent and supportive journey without hidden fees. To explore if this combination is right for you, we encourage you to take our free assessment quiz.