Re: New to Glucophage
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Wed, 4 Jul 2001 18:17:55 +0200
Hi Paula,
It is OK to start at 500 mg/day and increase to 2x-3x that dose or 2x850 mg. Tiredness is common on the first days of metformin and is most probably caused by hypoglycemia. I would refrain from clomid for at least 6 mo, because you would most probably ovulate on metformin alone.
For your info
Sam (Ob/Gyn, RE)
> Hello all,
>
> I am new to this board and seeking a PCOS support community. I was
> first diagnosed about 7 years ago. I've struggled with weight gain and
> acne all my life, but have always had periods. I had a myomectomy three
> years ago to remove uterine fibroids that, thankfully, have not grown
> back. My husband and I have been ttc for about a year, with no success.
> My cycles are irregular -- 26 to 44 days. I think I ovulate sometimes,
> but not all the time. I just started Glucophage yesterday and may begin
> Clomid on Friday (depending on the results of my husband's semen
> analysis). My bloodwork showed that my fasting insulin levels are high,
> but my blood sugar is normal. My ob/gyn has never prescribed Glucophage
> to her PCOS patients before, but she has read the research and is
> optimistic. For those of you who are taking Glucophage, I have a couple
> of questions. First, what dosage did you find effective? I started with
> 500 mg/day. Bad gastro side effects last night, but okay today. Second,
> did you have any fatigue? I'm unusually tired today. Could just be my
> hectic life. I would appreciate whatever info you can share. And
> reading through some of the postings, I REALLY hope this helps me drop a
> few pounds. I'm optimistic.
>
> --
> Paula
>
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