Would anyone recommend using victoza with metformin as a means to treat obesity and pre diabetes?

Not for self care: What you are describing is not a do it yourself matter. You ought to consult an endocrinologist to ascertain if you need to take any medication. Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex.