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I was on metformin for 90 days from September of 22. Since then I went from 285 lbs to 224lbs. By September of 23. I also during this time I set a certain diet for my self. No bread, no sugar, no juices, no soda, that there helped in the weight loss. Not eating big amounts of food. And eating healthy foods. The weight loss will come right back if you do not maintain a strict diet and exercise. This is how i lost my weight after my stent and finding out that I had diabetes. Now I do not have diabetes and I am maintaining my weight without a problem.
@@Jackiechan007 i am off the metformin. I still stick to a diet that works for me. Weight loss is something that takes time. Quick to put it on slow to remove. Lol.
I have been taking Metformin for over 4 months and I am down 52 pounds. But I added exercise and watched my portions also. My A1C has dropped from 8.7 to 5.7 within 3 months. My doctor told me she has never had a patient with that success before in such a short period of time.
It took me about a month after starting the medication to start losing weight, side effects lasted 2 weeks. Now I lost 5 lbs in a week a month later. I'm new to it, and I'm astounded how much fuller I feel after eating a little food. Progress is amazing. Eating so much less in evenings, more energy.
Great video I have been taking metformin for about 3 months with diet and exercise I am down 40 lb with zero side effects thank you for the great information
I've been taking metformin for 3 weeks and went down a pants size already. I'm not diabetic but I do have insulin resistance. I'm losing weight faster with metformin than I did doing keto.
@@jasonj7755 keto was great until it wasn't. I lost 130lbs with it. I did keto for almost 6 years until it completely whacked out my hormones to where I couldn't even sleep anymore unless I ate carbs. I was a die hard believer in keto thinking I was going to do it the rest of my life but my body disagreed lol. Keto's great for short-term.
@@GeorgeGlass298interesting to hear your story. I’m no expert, but I believe more in low carb, not keto. Keto for short term, sure. Works wonders. But as for lifestyle, I believe low carb is the healthiest way of eating.
Coming from someone with an academic science background outside the medical field, I REALLY appreciate you citing all of your sources and that you read up on the current literature so thoroughly! We need more doctors like you!!
I really appreciate you sharing such high quality, research backed information from a professional perspective. Lay people like myself don't get such detailed treatment typically from a normal physician interaction.
+Andries Malan Thank you, Mr Malan. That is the idea. Good medicine is mostly teaching and patient engagement. This is a legacy thing for me. The videos are now reaching far more than I could on a patient-by-patient practice. We are now using these in our operations for support of patient teaching activities.
Andries: Yes, it is nice that he has the research compiled in a video. I do a lot of research myself whenever I have a medical issue. I have access to all the databases through college libraries. You may have access to these through a public library, or you could visit a college library, and some journal articles (not all) are available free on-line through regular internet searches. Many (not all) medical journal articles are not that difficult for a lay audience to understand. It is impossible to rely completely on doctors. I have eye issues, and most of my specialists spend five minutes tops for my appointments. (Of course, I do have a number of tests before I'm ushered into the room to see them.) I have had to check the indexes/databases to understand what was going wrong and what I could expect for each of my emergencies. Most doctors don't realize all the negative psychological effects lack of knowledge creates: the fear, the worry, the uncertainty. Patients need information and need to play an active role in decision making, whenever possible, instead of remaining in the dark.
You have to watch where the information coming from because if I sell dogs I also sell dog food.Big pharma will sell you a boat full of holes and charge you extra for a paddle.
I lost 43 pounds and got stuck. I haven't lost any more weight. I have insulin resistance and PCOS but my AC1 is finally under control. (5.1) My doctor prescribed me 2000 mg a day. I would love to lose another 52 pounds. My weight goal is 143 pounds.
For me its: IF (18/6)+ low carb + calorie deficit + metformin and loosing weight very fast - 500 gram a day! I take 500 gr around midday with my first meal and 1 in the evening before I go to sleep.
Thank you so much for this wonderful and very informative video. It is a rarity these days in youtube to actually find science based material, detailed, and easily explained. Might I suggest that It would be even more helpful if you could put the links in the description box below the video, of all the studies you had printed out ( and yes I loved that you printed out your reading material.) Kind Regards
+amy2gr Thank you. I'd like to out more info, like citations on slides. I'm working to balance the demands of a busy practice with continued video improvement.
I just started 500mg metformin a week ago for anti aging and weight loss. I'm about 15 lbs overweight. So far no major side effects. I exercise daily and eliminate sugar and processes food.
This is so informative and with actual references 🙌🏼. I was diagnosed with pre diabetes years ago and started taking 850mg twice a day. Recently I moved to a different country and my physician here told me that I didn’t need to keep taking metformin anymore so I stopped. I’ve gained 20 pounds ever since (the highest weight I’ve ever had) and there’s nothing that seems to help me loosing weight. Now I understand
dont know if anyone gives a damn but if you are bored like me during the covid times then you can stream pretty much all of the latest movies and series on instaflixxer. Have been streaming with my girlfriend for the last days xD
54 yo post menopause - weight started piling on at age 48 during menopause - now almost 300 lbs (total caregiver for my 87 YO bed bound Dad (lower GI CA) only work per diem in ER when I can get a sitter- so very sedimentary life) - no high BP, no other conditions and not on any meds. Had an A1C this week- 5.7 originally went to doc because of weight gain and ferocious appetite. Started Metformin tonight actually, changing diet to low carb starting tomorrow. I also have an apt tomorrow with the gastroenterologist - first visit tomorrow on my 6 month pre gastric sleeve sx.. VERY informative! Thank you for this video Doctor, I am very hopeful that if I stick with the low carb diet and start to get some activity- I can lose this weight, hopefully bypass any invasive methods!
I'm going to be starting metformin at 250mg (breaking a 500mg in half). I was on seroquel for 8 years. Im off of it now, but the hunger problems persist. Definitely gonna start working out, weight vest + stairmaster or just walking a mile to and from my house. I hope this combo does the trick. I can go hard in the gym, strength gains, but..... still a donut =\ , and I used to be a stick-figure cross country runner most of my life. Love your vids man, gives me hope!
@zaidk3625 I started ozempic in April. Weight came off , 240lbs to 195 lbs. I cook at home & walk alot , thats really it. I don't feel hunger on this stuff . Side effects are kind of crazy though
I recently started Metformin for PCOS. I was put on 2000mg of Metformin last winter to deal with weight gain from antipsychotic medication. I had gone from 105 lbs to 115lbs in one month. The Metformin allowed me to maintain my weight for six months, until I no longer needed the Seroquel. I came off both medications and within 8 weeks, gained more 20 lbs. I dropped to an 800k daily diet with 18/6 fasting and no alcohol, no sugar one month ago and I still gained 2.5 lbs a week on the regimen. I tested high on testosterone (6) and DHEA (460) and a fasting blood sugar of 95 (after a 14 hour fast). My 10 year average fasting BS was 55-60 before this. I'm not sure if the Seroquel caused issues or I've always had PCOS, but after restarting Metformin, a week ago, I've already lost 5 lbs. I'm looking forward to eating more than 800 calories, but I'm so happy something is finally stopping the weight gain. Most people think 20 lbs is not a big deal but if you are short and petite--that's a 20% gain. Your information has really helped explain things. I'm still confused on the protein, healthy fat, healthy carb debate--but for now my focus is on eating real food, prepared at home, a balance of each.
Ppl r so lucky to have it help with weight loss. I’ve been on 1,000/2,000mg for 2 years and not only have I not lost any weight I gained 10lbs :-( my A1c also didn’t change.
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My blood sugar and menses have always been regular (even when I was obese) but metformin has really helped during my weight loss journey and it keeps my androgens in check. When I don't take metformin for some time, I notice it in my BO and neck hair.
I'm 110lbs less than my highest weight 11 years ago, and have been doing low carb with some carb cycling for about a year to lose the rest of it more quickly.
@@PrevMedHealth I've done a 7 day water fast a few weeks ago, I liked it but next time I do such a fast I'll do it while camping or a time of low-stress, because I just got real crabby towards the end. I'm currently doing moderate IF (about a 6 hr eating window) It's hard for me to eat enough calories in a short time though, I get full rather quickly.
I was on this for months, gained weight and was running to the toilet non-stop sometimes when on the street. I have nothing wrong with my blood sugar. The doctor put me on it for weight loss. Debating on whether to go back on it because it didn't do anything but make me sick.
Can one take metformin with berberine over the counter if no result with metformin only after sometime?? Thank you for you informative video. You are awesome.
My husband took it for pre diabetes didn’t lose weight, I took it lost 30-40 lbs in 4 or 5 months, I think I had PCOS undiagnosed. If you take between a meal at dinner helps with gas, I didn’t have that problem heard others do.
I am pre-diabetic my A1C is 6.2 my doctor prescribed metformin 500g I just started taking it with a healthy diet but as I have sciatica I can do hard exercise but i walk at least 30 minutes a day hopefully my A1C goes down and loose weight !!
I have been keto for 2 years, actually went off insulin and did well for a while, but then my blood sugars rose, and rose and rose. I was told I was eat9ng to many fats, so to go down to 50 grams, and less then 15 total carbs( was doing 20 total carbs ) and to drop my protein to 90. I’m still not into ketosis and am strick keto, been weaighing food etc. I got 500 mg of metformin from my doctor today, as my blood sugars are all over the place, from 128 to 159 so I’m hoping this will help me get back down in sugars and ketosis. I lost 12t pounds the first year on keto, and this last year gained 40 pounds back. Do you think metformin will help lower my sugars and help me get back into ketosis ? Any info you can give me would be a blessing
On January 5, 2023 i was admitted to hospital sigmoidectomy, they cut part of my large intestine out, at the time i was at 242 pounds,on July 19, 2023 i was admitted at the hospital again with 743 blood sugar level Ac1 was at 9.8, right now September 19, 2023 I'm at 217 pounds, i take metformin hydrochloride 500mg, but im also taking, pioglitazone 30mg, Losartan 50mg and Ozempic once a week, I have type 2 diabetic. Take 2 types of insulin slow acting Glargine and fast acting Lispro. Before this i never knew about carbs, sugars, I heard about diabetes, I never paid attention, I knew diabetic people will inject insulin but never knew what was high or low blood sugar level, or what foods to eat, i guess was something i was not interested to learn or educate myself on that. Now i know how difficult it is dealing with this.
I’m 50yrs and I recently was told that I was prediabetec but doctor suggested that I change my diet; so I went back to jogging 3 times a week and also went on a keto diet; and so I went from 168lbs to 150lbs BUT on this past holiday (2023) I gained 10 lbs; so I’m 160 now and I’m wondering if metformin would allow me to keep off the weight long term’
Such a great video thanks. GLP-1 meds are the rage now. Gastric sleeve is claimed to reduce not just stomach volume but also gherelin secretion. We need a grand unified approach.
Let's focus on fat loss, not weight loss! Lift weights, nothing makes a human more insulin sensitive than added muscle! Side note, the heart is a muscle!
I'm diagnose type 2 diabetic last may 2023 I'm started taking metformin from june to september My weight before taking was 66kilos and now I'm 57 kilos.. Now i'm not taking a metformin since october My blood sugar is now okay.. From 134 fbs to 126 From 9 hba1c to 6 I'm now in low carbs diet.. I'm afraid to have a side effects for taking so long of metformin drugs.
Looking at videos on Met Forman this video is quite significantly older but what I can say is I was just put on 500 mg twice a day. My AC one is 5.7 and my doctor wants to bring it down. I have zero side effects nothing that you mention not even weight loss but that again I just started it, but I don’t think that I’ll have any side effects at all And does not decrease my appetite whatsoever, but I’m on it to lower my blood sugar. I would like to see some weight loss since I need to lose roughly 100 pounds or so but nothing yet. 4:55
Very informative I started metformin for weight loss on day 4 ( not a diabetic or Pcos pt) doing LC & gym -trying this b/c nothing else is working. Hoping this helps and there is not a lot of info on metformin for WL only out there that I could find so thank you again
I agree with John L. (I usually do - he's very well informed.) Also, there is a key issue about low carbs diets; they do NOT result in ghrelin swings like carbs do. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-A4Rv5n2UKFM.html Got to the 5 minute mark. get carbs out of your diet and the ghrelin spikes go away. Most people aren't aware of this. I'm thinking about doing a video specifically on this.
Interesting. I’ve found a potato based diet very low in fats and adding beans berries salads cruciferous veggies cured my food addictions very quickly. Oddly my sugars normalized as well.
Wonderful. I have worked with many providers that use ER as a first choice. I would do that, except so few of my patients have had problems with plain old metformin.
There are some docs, like Nir Barzilai, that say give it to all at age 65. He’s got some good points. But I obviously cannot give medication advice on the web web.
I have a few questions sir. I just got diagnosed as diabetic by my doc after many years being a pre diabetic. I've been on metformin 500 twice a day for the last 10 days since I've started. Can I eat the metformin with all my other meds in the morning and evening without carrying it around with me to have it with meals whenever I'm outside for hours? Don't like carrying my meds everywhere! But I'm not seeing any side effects. Sometimes I have to take it empty stomach due to my work schedule early mornings. I work out in the gym weight training as well as walk 45 mins in the night also. Can I continue to live on Metformin 500 effectively all throughout or the body over the course of age and time only makes the diabetes get worse irrespective? Please do let me know on these questions. Will I need to progress on to later injections of insulin? Is there any way I can manage healthily and stay all my life on metformin?
Thank you for such valuable info! Do you think Berberine would be an equal to Metformin? It’s my understanding that they have a somewhat similar mechanism of action. Again, thank you for this Goldmine of info!
Hello and thank you for sharing great info. I've been on metformin 500 mg x 2 a day for weight loss. I exercise 30 min 4 days a week and watch what I eat. It's been 3 weeks already but have not lost anything yet. Should I increase my dosage to 500 mg in the morning and 1000 mg in the evening? Thank you in advance.
Metformin, when it impacts weight loss, usually takes a few months. You usually forget about it. Then you notice a few months later that you're lighter. The standard dose in 1000 mg twice daily. But most of my patients take about half that.
Thank you for the information. I have started taking metformin for diabetes. I had e-coli recently and was given strong antibiotics. I want to take probiotics to restore my gut health. Can taking probiotics while taking metformin affect my gut in a positive way or would it negate all the good that metformin is going to do to my gut?
I would emphasize probiotics, especially after antibiotics. It may be a valid criticism that most probiotics lack biodiversity. But I still think it makes a better gut biome than before.
My wife uses 1000mg daily for PCOS has an abundance; I think I’m going to experiment with use for weight loss as an experiment without consultation. A lot of my clients also take kidney protective use of blood pressure meds in conjunction with type 2 diabetes but don’t necessarily have high blood pressure this use is not in correlation to the use of metformin correct?
Greetings Dr. Brewer! Would you know if Metformin affects probiotics, specifically Lactobacillus reuteri, in the gut? From your presentation, can you expound on the gut flora changes when taking Metformn? Are certain bacteria suppressed and others enhanced? I can't find any scientific papers or research on this topic. Thank you!
Thanks. The standards start lower and usually build up to 1000 mg (1 gram) twice daily. Like many of my patients, I’m fine on 500 twice daily. Be sure to watch your methylmalonic acid and homocysteine. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-iRn7fLs-mgo.html
My appetite went down after 2 days but only certain foods. My dr started me on 500mg bid. I have diarrhea but I’ve had diarrhea everyday multiple times a day for more than 5 years, ever since my gall bladder was removed, so it didn’t really matter. Just made it a tiny bit worse. I can’t take phentermine anymore because I developed sinus tachycardia, I gained over 130lbs in the last few years, and I’m already on Wellbutrin and topamax. If this doesn’t work ( with a changed diet and increase in exercise) I’m gonna have to get gastric sleeve surgery or something. (I did however lose 35 lbs during this lockdown somehow?) Being so heavy is causing me so many health problems at this point. Anyway this video was helpful thanks.
Thanks for the comment. I did a video on Victoza a few months ago. There are a lot of people on Liraglutide/Saxenda/Victoza for both weight loss and diabetes. There are risks, but many obviously feel like they are worth it. What are your specific questions about Victoza? Does this address them? ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-IQPW5xmi5is.html
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Will this help to keep my blood sugar from bottoming out. I.was diagnosed with diabetes after having the 4 hour GTT and was put on metformin and Byetta. I haven't taken it for three or four years since I changed insurance and doctors. With the A1C my blood sugar is normal. I do know that my glucose bottoms out almost daily or every other day. Just wondering if it would help regulate my sugar and not bottoming out.
I am 29 yeare old, around 1.5 stones over my healthu weight. I took PCOS in the past, it made me sweat alot..i was less bloated thank God. But i started noticing i have thinning hair and skin, dark circles. This was three years ago. I am still stuck at the weight i lost with metformin then. I should be started metformin again for weightloss. Can u recommend anythinh that help me not loose my hair, and have thin skin while on metformin?
I lost 7 lb in 8 days on metformin. But worked out 30 min high intensity Zumba 4x a week. 3 meals. No soda, no bad sugar no bread ..... less food. 2 snacks
Are you unable to build muscle ok metformin ? I’m not trying to body build I just want to tone and build my glutes that’s all. And is the change it makes in the gut a positive one?
I am prediabetic A1C 6.0. My doctor wants to put me on Metformin as a pre to avoid becoming diabetic. Why get on Metformin as a pre diabetic when Metformin will work the same once you are diabetic?
@@PrevMedHealth I understand that but as a pre with a 6.0 getting checked regularly like every 3 months I don't think an A1C of 6 or 6.5 will cause damage to need Metformin unless you don't take care and don't get labs regularly one day its a big surprise and everything could be really high.
Thank you for making this! Im really struggling during my first two weeks. Vomiting and diarrhea, the symptoms are easing up but my appetite is stronger than ever before😅 !
@@MITCHIKOSWEIGHTJOURNEY I had to go from my double dose to one pill a day due to the symptoms lasting over a month. But between 6/7pm with a heavy dinner.
@@KT31422 honestly I've noticed no difference yet, I'm even eating healthier and working out but so significant changes I can see or that the scale can notice either 😅 medication is easier to take though, long as I don't miss a dose I have no symptoms at this point.
Hey Dr I want to lose some weight.my blood sugar always less than 100.. do you think I could use metformin to lose weight.. I tried lots of diet.. didn't work...help..
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As the FDA is still investigating the issue, it still recommends the continued use of metformin as prescribed, and I agree. I first discussed the issue in a recent live stream. You can watch the replay here: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-mG9Ut2HmFoc.html.
Dr. Brewer, should I take Metformin? I'm 62 my sugar test varies between 98 to 105 it seem s that theres a lot factors that alters labs results, but mainly around 98 and 99. I check it 3 or 4 times annually. What dosage daily.
Great video, Dr. Brewer. You mentioned titration of dosages. Is that possible for 500mg xr? I️ just began taking metformim once daily with my evening meal. If GI issues are not of concern and over time I️ see no improvements, would doubling an extended release tablet be safe?
My gyneco prescribed Meta 500mg once/ night. I have symptoms of PCOS and have gained 20killos suddenly 2 years ago. I have been on Meta for 3 months and increased my dose for 1500mg/night. I have zero weight loss. I have started working out 1 months ago and still no weight impact. Meta made me crave sweets like crazy and if I don't have any, I feel lightheaded and dizzy. I feel like I could improve my quality of food but still 3 months on 1500mg/ night and no weight loss is a bit frustrating. Any advice or suggestions.
Sirar Jaroudy this is me! Metformin actually makes me crave some food or else I feel a bit lightheaded. Also on 1500 mg a day and I feel like I'm fining weight while on metformin.
Ever since I had my hall bladder out I just pack on weight unless I exercise dramatically. I’ve started metformin a few months ago my does just went up to 2000mg a day. I cannot stay off the damn toilet!! I also have pcos!
Danny Boy777 I feel like I'm getting hungrier and also gaining weight on metformin. I wasn't terribly heavy to begin with though; just 10 pounds overweight.
Ford Brewer MD MPH i am on 1000mg metformin, i am also on low carb diet! I walk 5 days a wee for 45 minutes yet I gained 31 ponds as today! My Dr could not figure out why metformin made me gain weight! Th so much for replying! Blessings ❤️
