PCOS-DIET Messages for August, 2001: Re: Pill/Diet...Questions Dr Wadsworth

Re: Pill/Diet...Questions Dr Wadsworth

From: Nikki (anonymous@obgyn.net)
Wed, 8 Aug 2001 07:21:53 -0500 (CDT)

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Dr Fred,

Thank you for your reply,

well you ask whether I have lost fat or muscle well I have lost Fat and my muscle have become firm ( build earsier in Gym) since been on Met my BMI changed from 52.1 to 48.2 which is a good sign of things working,

i am following a very strick Low Carb eating plan, and with metformin my hair loss is reduced considderably, my skin is back to what it was when I was young I have very little facial hair and as mentioned my cycles are sorting it self out, and the greatest is the weighloss which I could never achieve on what I was before, as I had followed a VERY stricked eating plan given to me by a diatician (low fat) and went to Gym 5 times a week and manged to somehow gain weight istead of loosing, ( was on the eating plan for 6 months)

As i mentioned yesterday Met might be a short term solution for some people but once you have lost the intial weight by controlling your carb intake and been on Metformin( my doctor has me on 1000mg a day)It might be easier to continue without Met. I say might as I know it will be easy for me but different ladies might not,

Fair enough met might be used for ovulation so in the end Met will be given to ladies with PCOS as most of us do not ovulate without medical intervention, and I am sure MEt is cheaper than Clomid/Clomiphene I might be wrong,

I am realy sorry for asking all these questions as I know it is not your fault and I please to know you know how frustrating it is for PCOS sufferes,

Have they infact had Trial in the UK using metformin for the treatment of PCOS ( I know it wont be cured ) but as far as I can see releive us of some of the symptoms, I might be wrong but it has only been used recently in the UK for "some" ovulation problems( whether PCOS sufferer or Not)

Thanks again,

Kind regards Nikki

At Wed, 8 Aug 2001, drfred wrote: >
>Nikki,
>I recognise your frustration about the approach of the UK establishment
>regarding the use of Met. There are many drugs that are viewed
>differently accross the 2 sides of the Atlantic. The UK bodies have
>reviewed all the world literature and have simply taken a more cautious
>view.
>
>It is early days for Met in PCOS, nobody knows if the weight loss
>achieved on Met is sustainable. PCOS is obviously not a short term
>condition. You have lost 11lbs, is it fat, muscle or both? The
>underlying cause of insulin resistance is not addressed by the
>medication and weight loss achieved with Met may distract from the need
>for lifestyle and body composition changes.
>
>Mainstream medicine tends to be symptom orientated (periods, acne etc)
>and so less emphasis is placed on nutrition/exercise/body composition to
>control long term symptoms. I believe the key to unlocking PCOS lies in
>this area for many women.
>
>Loosing weight with PCOS can be very challenging and in the long term
>there might be a role for Met in its management. It is more likely to
>gain first use in ovulation induction (fertility). In this sense it may
>indeed become a 'fertility' drug. As yet a strong enough objective
>scientific argument for these uses has not been recognised in the UK
>mainstream.
>
>Best wishes
>
>Dr Fred
>
>--
>Dr Fred Wadsworth
>Centre for Nutritional Medicine
>London
>

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