Re: Dr. Sam - Metformin and Actos
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Wed, 23 Jan 2002 06:49:17 +0100
Hi SusieQ,
First of all, metformin is no weight drug. Decreasing your androgens is the aim of therapy, so you shouldn't do anything against it.
Sam
> Hello Dr. Sam,
>
> Thank you for your reply. I appreciate your time. Are you saying that
> the decreasing androgens can contribute to low energy? If this is so,
> how to treat?
>
> When I increase met to 2500 mg/day, I definitely have hypoglycemia. My
> main problem is that I can not lose weight on 2000 mg/day. How could I
> gain energy and lose weight without inducing hypoglycemia?
>
> Again, Thank you, SusieQ
>
> > Hi SusieQ,
> >
> >There is a ,isundeerstanding with the dose of metformin. I think it is
> >absolutely unnecessary to increase the dose over several weeks, because the
> >insulin imbalance is not as bad as with diabetics. Time matters more. If you
> >improved on 2000 mg/day why to increase to 2500? The tiredness may be
> >indicative of hypoglycaemia (low sugar) or decreasing androgens (which
> >usually give energy, but is in excess in PCOS). I would run lab tests to
> >clear up this problem.
> >
> >Sam
> >
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