Re: Question for Dr. Sam
From: anonymous@obgyn.net
Sun, 31 Mar 2002 19:15:31 -0500
REMOVE REMOVE REMOVE REMOVE REMOVE
>----- Original Message -----
From: anonymous@obgyn.net
To: Multiple recipients of list PCOS-MEDICATION
<pcos-medication@mail.medispecialty.com>
Sent: Sunday, March 31, 2002 7:01 PM
Subject: Re: Question for Dr. Sam
> REMOVE
>> ----- Original Message -----
> From: Zalányi <zalanyi.samuel@drotposta.hu>
> To: Multiple recipients of list PCOS-MEDICATION
> <pcos-medication@mail.medispecialty.com>
> Sent: Sunday, March 31, 2002 3:27 PM
> Subject: Re: Question for Dr. Sam
>
> > Hi Jen,
> >
> > Unfortunately this is the usual way how metformin is prescribed, but not
> the logical one in my opinion. As in the case there is no diabetes to get
> checked, but insulin resistance and the consequent anovulation. As the
> result in case of treating anovulation would be an ovulation, I think one
> dose level should be maintained for several months to see if you ovulate.
If
> not, you could increase the dose. But there is no report I know of, in
which
> the dose of metformin was compared to the result (ovulation). In my
praxis,
> many patients improved on 500 mg/day.
> > For your info
> >
> > Sam
> >
> > > Dr. Sam, I was reading a response you wrote to someone about
metformin
> > > doses and had a question for you. My endo started me on Metformin
Feb.
> > > 12, I started taking 1 tablet, 500mg a day for two weeks, then I was
to
> > > start taking two tablets a day, 1000mg a day for two weeks, then 3
> > > tablets, 1500mg a day for two weeks, then max out at 4 tablets, 2000mg
a
> > > day, for as lonf as I take this medication. I have not been diagnosed
> > > as diabetic, or insulin resistant. From what I have read on the
> > > discussion boards, this seems like a high dose to me.
> > > Is this how it is normaly done? I don't see my endo again until the
end
> > > of april, and as he is very difficult to get a hold of, I thought I
> > > would ask your opinion while I was waiting for him to return my call.
> > > Thanks, Jen
> > >
> >
>
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