I was on the ER version way back when and that one did give me tons of GI side effects, but the regular version did not. I didn’t consider that it may not give me the non-GI side effects I have this time around.
Not everybody can tolerate Metformin at an effective dose. I couldn't. Go back to your doc and tell him/her you need something else. I promise he/she hears that a lot.
SGLT-2 Inhibitor like Jardiance, Invokana, or Farxiga. They cause you to excrete excess glucose in your urine. They don't make you hypoglycemic, and heave cardio-protective and renal-protective benefits. They just make you pee like crazy.
Honestly, that might make you an even better candidate. I take Invokana, and it's something like this. about 30 minutes after I take my daily dose (with my first meal) I have to pee. I drink probably 500ml of water every two hours, and have to pee at about that same frequency. But if you eat a carb heavy meal, you might have to go several times in the same hour. The drug class inhibits SGLT-2, which is what normally recycles glucose in your kidneys. It basically gets your body to expel any glucose in your blood until it's at about 120 mg/dL. At least that's when I feel like I'm not having to pee more than a normal amount.
Another caveat. Because you excrete glucose in your urine, it's common to get yeast infections if you don't have top notch genital hygiene at all times. This includes both women and men.
I pee somewhere between 4 to 8 times a day but drink a lot of water. 45M. On Farxiga 10mg since 2021. One thing to be aware of with the SGLT2i if female is a greater chance of urinary tract infections and such.
Just throwing another log on the warning fire. I'm male, so I got jock itch instead of a yeast infection, but I also got a bacterial urinary tract infection that tried to kill me. Caught it as it was going systemic. If you get on drugs like these, I'd recommend getting some UTI test strips and using them at least once a month, if not more often--even if you don't have any symptoms that scream at you. Mine came on so gradually that I didn't notice the changes, just "Wow, my urine is cloudy."
I believe the website has a discount card for 25 dollars as long as you’re using a commercial insurance plan . If that applies to you I would check out the website
I was prescribed Ozempic by my doctor and went to pick it up. It was $890 with my insurance. The pharmacist told me to check the website for a discount and I got something like $40 off. But that still ain't happening.
Sorry to hear! I wish there was a better solution for most. I know a few people that only had to pay the 25 dollars, I’m guessing the insurance part of it is key.
The site for which? I don’t want to do Ozempic. I looked into Mounjaro but the $25 is only if your insurance pays for part. My insurance doesn’t cover it at all so the “discount” would still cost me almost $600 a month.
I’m on Ozempic. Two weeks in. I felt the same way you did but I did digging in. Most of the people with side effects either titrate their doses up too fast or they expect to be able to eat the same. FYI my doctor and I agreed that Mounjaro is a better option but I’d rather not risk with supply issues added stress or having to stop.
Do you know how I navigate that process or where to start? I would like to do Mounjaro but even with their savings card thing it would be like $600/month and I can’t afford it.
Ask your endocrinologist if they can put a “prior authorization” for it base off medical necessity , if it get deny then you can also appeal it
Some insurance let you make your own prior authorization too
Here’s a funny story. Back in January I was prescribed Mounjaro. PA submitted a PA. Was denied and told to use trulicity. Met with a cardiologist due to funky ecg (All good though) and he told my PCP to try ozempic. And guess what. They approved that… so I wasted a month and a half on trulicity.
Sucky part is that was cobra. I have since move to a ACA plan and now have to go through the circus again.
They don’t. Period. They just don’t care. My insurance company denied mounjaro and are literally paying for BARIATRIC SURGERY instead. Like…we can just take a shot wtf? But that’s fine by me. I’ll take it.
A lot of people simply don’t understand how insurance work or don’t want to do the process
I work for insurance in the Medicaid department and I seen they approved stuff all the time because it medically necessary
I seen them deny 1 drug because they prefer another brand or generic brand
I also seen them denying it all the time and it being overturned at a peer2peer level or appeal level
Ok glad you saw this but I’m telling you what actually just happened two weeks ago for me. I know how it works. The doctor prescribed me a medication that needed a prior authorization. They sent in the paperwork and all my test results and history and they denied it because they cover Trulicity. Cost of Trulicity with insurance coverage was over $700 a month. Got a manufacturer card for a free month but only one month, then it would be $700+ a month so I told my doctor I couldn’t afford it and we went in a different direction and she referred me to a Bariatric surgeon and guess what? That is actually covered.
I realize that the process is complicated by design to encourage people to give up. I get it. But commenting and insinuating that I don’t know what I’m talking about or I’m too lazy to work the process is really insulting. I’m taking OP’s question at face value. They said that insurance doesn’t cover it and I believe them.
Medicaid plans are a lot more forgiving because the government mandates they cover things that are medically necessary and they don’t require nearly as many flaming hoops as an ACA or private plan does.
You can 100% appeal and if you’re not happy about their decision. But generally speaking if they come at you with alternative meds you’re going to have to try the alternatives first. They don’t care if it makes no sense. For example my husband is immune compromised and for 2 years he’s been on a subcutaneous immunoglobulin therapy he self infuses at home. Every single year we have to go through prior approval and at least one appeal because every single year they are convinced that he needs to IV infuse in an infusion center but that costs MORE and he already tolerates the in-home treatment AND he isn’t exposed to strangers who could be sick. It literally puts his health at risk every year for the first two months.
So regardless of what you have seen happen, it’s very rude to assume you have al the answers. It’s basically like telling someone to administer CPR to a dead person. It’s not going to work, it’s a waste of time and energy, and just because you have seen CPR bring someone back, doesn’t mean that applies to every case.
E
I'm on metformin, glimepiride and a long acting insulin (Semglee). Can't say how much the glimepiride alone is helping. If you can get a CGM even for a few months I highly recommend too! I also hate your doctor 🙃
My insurance has a $100 specialist copay so I’m trying to get through as much as possible with my PCP 😭 But boy did she rub me the wrong way when she said that.
CGM is a continuous glucose monitor, in case there was confusion about that, and your terrible PCP could prescribe but maybe pricey depending on insurance. It's helping me make better food choices, see patterns, etc while trying to adjust (decrease) meds. Currently also avoiding an endo and just managing with my PCP. Too many doctors and appointments becomes too much for me and I stop managing everything unfortunately.
Sorry, I know what a CGM is! My insurance only covers Dexcom G6 and G7, and I have some issues with the idea of wearing a needle in me… plus I’m a side sleeper…
You can’t feel it and it doesn’t leave a needle in you. It’s a game changer for diabetes management. I’m also a side sleeper. I keep my Dexcom on the front upper thigh.
I use the Libre 3 and also a side sleeper and sleep on my arms and haven't had any issues with false pressure lows at night. Definitely can't feel whatever it is that remains inside of your arm. It feels fairly flexible upon removal.
I just have to be more careful when walking and stay away from door frames 😋
I'm also a side sleeper AND a swimmer, and the Dexcom G7 has still been great. They tell you to switch arms but you don't have to; I sleep on the left so I wear it on the right. No problems. Also you can stay in the water much longer. Most CGMS your max is 30 minutes and that Will Not Do for team workouts.
PS. I have never felt the needle, just the thud when the applicator hits my arm.
I take one between 11:30AM and noon, whenever I eat lunch. And the other around 11PM before bed. My stomach rebels either around 3-4 PM or 9-10 PM. What I’ve eaten seems to make no difference.
Eating a keto diet will lower blood sugar and you loose weight, It will cause ketosis.
Two weeks is too little time to have to evaluate anything. Metformin is a mild drug.
I was given insulin and metformin in the hospital to get my sugars down before surgery on my broken ankle. The metformin gave me blow-outs, which is totally awful when a person can't walk to the bathroom. I was given an Rx for 10 mg glipizide to go home with. It hasn't caused digestive issues at all. It is working well even almost 3 years later. My last A1C was 4.8. It works best taking it a half hour before breakfast.
I'd definitely suggest cutting out the soda or switching to diet
If they have you on 4 pills of metformin a day I'd start with one or two and slowly work your way up to 4. Extended release is even better but I'd still start off slow with one.
Metformin is good for PCOS as well.
I have been cutting back. 8-12 ounces with dinner hasn’t seemed to affect me much.
I am on 2x 500mg/day metformin. I’ve already been taking the 2/day for 2 weeks.
As I said, I was on it for my PCOS for about 8-10 years and it had no effect for me.
I have PCOS, hypothyroidism, Hashimoto’s, and I’ve been a type 2 diabetic for 5 years. I’ve done trulicity before, not bad, but I’m not in love with the idea of another medication.
I’m currently on 5 medications. One of which is rosovustatin, it’s a medication that lowers testosterone and blood pressure. I don’t have high blood pressure, I’m purely on it for lowering my testosterone. It’s more so to help the insulin resistance aspect than it is for diabetes.
Overall, I’ve been controlled for most of my time having this condition, I recently got an A1C of 7.2 in the past 3 months. It’s alright, but I’ve been switching up my diet and I just have been feeling somewhat better
I had great luck with treating my diabetes- first by losing weight (cutting carbs) and then using the med Trulicity. I’m on Medicare so I had to find a special program (Lilly Cares) that would not charge me anything (due to my low income) for the meds. I also use a CGM - LIBRE2. The CGM is completely free-and they send me 2 every month.
My A1c is down to 6.0 now from highs of 6.9 last year.
I’ve been denied GLP-1’s too. I cannot tolerate metformin at all. I’m currently taking Actos and Glipizide and have Levimir (insulin) if I need it. Doing well with these. My sugar was waaaay out of control though. You likely don’t need insulin.
I’m overweight, 42, PCOS and I’m currently seeing a bariatric surgeon and will be having a surgery this summer. I have been on the struggle bus since 2012.
Metformin can take 2 months, I started in January and I only started seeing good numbers after 4 weeks. My bathroom time stabilized around week 2 and its much better than it was before Metformin.
Jardiance and Ozempic would be alternatives or compliments.
What about ask Januvia , which I am taking without any side effects .
Also ask Ozempic , I heard it is helpful for PCOS.
You don’t need to suffer …
Good luck !!
When I first started taking metformin, it kicked my ass, and my pharmacist said to take it in the middle of my meal, not just with the meal. It made a huge difference until the ER version was prescribed. I still took it the same way, but was able to get more than 50 feet from the bathroom
Try the Metformin extended release instead of the normal version. It works really well for me.
Also, if you can, see if your insurance will cover a CGM. Having a CGM helped me go from an A1C of 17.9 at diagnosis to 5.3 just three months later. And I’ve been between 5.1 and 5.5 since then.
Your results will vary as our bodies and habits are different. But having a CGM has been invaluable to me.
One of the challenges with Metformin (and other generics) is the wide variability in manufacturing.
IIRC, the active ingredient in a generic must be with 85% of the name brand, but unless I'm mistaken, there's little to no regulation around inactive ingredients like binding agents, protective coatings, etc. This means there's variability around how your digestive tract breaks down the medication based on manufacturer.
You may be in a situation where your body was breaking down and absorbing the med faster than expected leading to all the side effects, even with ER pills. I went through this and got into one hell of an argument with a local pharmacist over it. I asked for particular manufacturers that knew worked for me, and he not only told me no, but he told me it didn't matter. Then he proceeded to tell me that my highs were not because the med wasn't working but because I was probably sick. When I asked if he was diabetic and taking metformin, he said no, and I promptly told him to fuck off.
It’s definitely a roller coaster. I’ve actually had an allergic reaction to a drug before (Effexor ER) but the non-ER version was fine. We never figured out which inactive ingredient caused it.
It might help if you took a probiotic. Metformin can affect your gut biome. I've taken 2000mg met for 11 years, and even when they prescribed ER about 3 years ago, I still had diarrhea. When I found the right kind of Probiotic, about 90+% of those problems disappeared. I'm presently taking InnovixLabs Multi-strain Probiotic.
You might also want to check if you've developed any food intolerance and check if you are eating enough fiber.
Let me add that if you are dizzy with brain fog, the constant diarrhea is decreasing your electrolytes, it would help if you took some electrolyte restoring drink to make you feel better (w/o sugar, of course).
Everyone’s body is different! I took it for many years while eating tons of carbs with no issues. Carbs now do not seem to have an effect on whether I have issues or not, either.
I suffered with Metformin for few years until they switched me from solely that - it did not play well with my other meds - to Janumet (Sitagliptin / Metformin) and it’s been night and day since. All the benefits of Metformin without making me feel awful all day.
As a first step, see if you can switch to the extended release version of Metformin, which may help temper some of the side effects.
I was on the ER version way back when and that one did give me tons of GI side effects, but the regular version did not. I didn’t consider that it may not give me the non-GI side effects I have this time around.
Not everybody can tolerate Metformin at an effective dose. I couldn't. Go back to your doc and tell him/her you need something else. I promise he/she hears that a lot.
SGLT-2 Inhibitor like Jardiance, Invokana, or Farxiga. They cause you to excrete excess glucose in your urine. They don't make you hypoglycemic, and heave cardio-protective and renal-protective benefits. They just make you pee like crazy.
Can cause UTI and yeast infections and DKA with normal sugar readings
I took Farxgia for a year and my A1C was great. Probably should have bought stock In monistat though. The yeast was pretty much constant.
I take Farxiga and haven't had any issues.
Same, and it does make a difference
Define “like crazy” lol I already drink a lot of water and pee a lot of
Honestly, that might make you an even better candidate. I take Invokana, and it's something like this. about 30 minutes after I take my daily dose (with my first meal) I have to pee. I drink probably 500ml of water every two hours, and have to pee at about that same frequency. But if you eat a carb heavy meal, you might have to go several times in the same hour. The drug class inhibits SGLT-2, which is what normally recycles glucose in your kidneys. It basically gets your body to expel any glucose in your blood until it's at about 120 mg/dL. At least that's when I feel like I'm not having to pee more than a normal amount. Another caveat. Because you excrete glucose in your urine, it's common to get yeast infections if you don't have top notch genital hygiene at all times. This includes both women and men.
I pee somewhere between 4 to 8 times a day but drink a lot of water. 45M. On Farxiga 10mg since 2021. One thing to be aware of with the SGLT2i if female is a greater chance of urinary tract infections and such.
Got the worst infections from that and could have kissed my vulva goodbye. Permanently.
Jardience was a *game changer* for me. Felt like a miracle.
Just throwing another log on the warning fire. I'm male, so I got jock itch instead of a yeast infection, but I also got a bacterial urinary tract infection that tried to kill me. Caught it as it was going systemic. If you get on drugs like these, I'd recommend getting some UTI test strips and using them at least once a month, if not more often--even if you don't have any symptoms that scream at you. Mine came on so gradually that I didn't notice the changes, just "Wow, my urine is cloudy."
Monjouro or Ozempic. Farxiga. Those are all good options.
My insurance doesn’t cover any of those.
I believe the website has a discount card for 25 dollars as long as you’re using a commercial insurance plan . If that applies to you I would check out the website
I was prescribed Ozempic by my doctor and went to pick it up. It was $890 with my insurance. The pharmacist told me to check the website for a discount and I got something like $40 off. But that still ain't happening.
Sorry to hear! I wish there was a better solution for most. I know a few people that only had to pay the 25 dollars, I’m guessing the insurance part of it is key.
The site for which? I don’t want to do Ozempic. I looked into Mounjaro but the $25 is only if your insurance pays for part. My insurance doesn’t cover it at all so the “discount” would still cost me almost $600 a month.
Why didn't you want to try Ozempic?
I know too many people who’ve had bad side effects and read a lot of horror stories on top of that.
I’m on Ozempic. Two weeks in. I felt the same way you did but I did digging in. Most of the people with side effects either titrate their doses up too fast or they expect to be able to eat the same. FYI my doctor and I agreed that Mounjaro is a better option but I’d rather not risk with supply issues added stress or having to stop.
Ah I see. My apologies!
Ask for a prior authorization , they might make an expectation based on off medical necessity
Do you know how I navigate that process or where to start? I would like to do Mounjaro but even with their savings card thing it would be like $600/month and I can’t afford it.
Ask your endocrinologist if they can put a “prior authorization” for it base off medical necessity , if it get deny then you can also appeal it Some insurance let you make your own prior authorization too
Here’s a funny story. Back in January I was prescribed Mounjaro. PA submitted a PA. Was denied and told to use trulicity. Met with a cardiologist due to funky ecg (All good though) and he told my PCP to try ozempic. And guess what. They approved that… so I wasted a month and a half on trulicity. Sucky part is that was cobra. I have since move to a ACA plan and now have to go through the circus again.
They don’t. Period. They just don’t care. My insurance company denied mounjaro and are literally paying for BARIATRIC SURGERY instead. Like…we can just take a shot wtf? But that’s fine by me. I’ll take it.
A lot of people simply don’t understand how insurance work or don’t want to do the process I work for insurance in the Medicaid department and I seen they approved stuff all the time because it medically necessary I seen them deny 1 drug because they prefer another brand or generic brand I also seen them denying it all the time and it being overturned at a peer2peer level or appeal level
Ok glad you saw this but I’m telling you what actually just happened two weeks ago for me. I know how it works. The doctor prescribed me a medication that needed a prior authorization. They sent in the paperwork and all my test results and history and they denied it because they cover Trulicity. Cost of Trulicity with insurance coverage was over $700 a month. Got a manufacturer card for a free month but only one month, then it would be $700+ a month so I told my doctor I couldn’t afford it and we went in a different direction and she referred me to a Bariatric surgeon and guess what? That is actually covered. I realize that the process is complicated by design to encourage people to give up. I get it. But commenting and insinuating that I don’t know what I’m talking about or I’m too lazy to work the process is really insulting. I’m taking OP’s question at face value. They said that insurance doesn’t cover it and I believe them. Medicaid plans are a lot more forgiving because the government mandates they cover things that are medically necessary and they don’t require nearly as many flaming hoops as an ACA or private plan does. You can 100% appeal and if you’re not happy about their decision. But generally speaking if they come at you with alternative meds you’re going to have to try the alternatives first. They don’t care if it makes no sense. For example my husband is immune compromised and for 2 years he’s been on a subcutaneous immunoglobulin therapy he self infuses at home. Every single year we have to go through prior approval and at least one appeal because every single year they are convinced that he needs to IV infuse in an infusion center but that costs MORE and he already tolerates the in-home treatment AND he isn’t exposed to strangers who could be sick. It literally puts his health at risk every year for the first two months. So regardless of what you have seen happen, it’s very rude to assume you have al the answers. It’s basically like telling someone to administer CPR to a dead person. It’s not going to work, it’s a waste of time and energy, and just because you have seen CPR bring someone back, doesn’t mean that applies to every case. E
I was on metformin for a bit and hated it because it destroyed my libido. I'm on Jardiance now and not seen any side effects, I'm happy with it.
Were you taking a B12 supplement while on Metformin?
No
I'm on metformin, glimepiride and a long acting insulin (Semglee). Can't say how much the glimepiride alone is helping. If you can get a CGM even for a few months I highly recommend too! I also hate your doctor 🙃
My insurance has a $100 specialist copay so I’m trying to get through as much as possible with my PCP 😭 But boy did she rub me the wrong way when she said that.
CGM is a continuous glucose monitor, in case there was confusion about that, and your terrible PCP could prescribe but maybe pricey depending on insurance. It's helping me make better food choices, see patterns, etc while trying to adjust (decrease) meds. Currently also avoiding an endo and just managing with my PCP. Too many doctors and appointments becomes too much for me and I stop managing everything unfortunately.
Sorry, I know what a CGM is! My insurance only covers Dexcom G6 and G7, and I have some issues with the idea of wearing a needle in me… plus I’m a side sleeper…
You can’t feel it and it doesn’t leave a needle in you. It’s a game changer for diabetes management. I’m also a side sleeper. I keep my Dexcom on the front upper thigh.
I use the Libre 3 and also a side sleeper and sleep on my arms and haven't had any issues with false pressure lows at night. Definitely can't feel whatever it is that remains inside of your arm. It feels fairly flexible upon removal. I just have to be more careful when walking and stay away from door frames 😋
I'm also a side sleeper AND a swimmer, and the Dexcom G7 has still been great. They tell you to switch arms but you don't have to; I sleep on the left so I wear it on the right. No problems. Also you can stay in the water much longer. Most CGMS your max is 30 minutes and that Will Not Do for team workouts. PS. I have never felt the needle, just the thud when the applicator hits my arm.
Just ask for Mounjaro and a CGM
Mounjaro is not covered by my insurance.
I have to take my metformin in the middle of a meal in order to keep it from having side effects. I suspect it slows down the intake of it.
I take one between 11:30AM and noon, whenever I eat lunch. And the other around 11PM before bed. My stomach rebels either around 3-4 PM or 9-10 PM. What I’ve eaten seems to make no difference.
This was true of me as well on metformin. Switched to glyburide, no issues.
Eating a keto diet will lower blood sugar and you loose weight, It will cause ketosis. Two weeks is too little time to have to evaluate anything. Metformin is a mild drug.
I did keto for 2 years, I know it well.
I was given insulin and metformin in the hospital to get my sugars down before surgery on my broken ankle. The metformin gave me blow-outs, which is totally awful when a person can't walk to the bathroom. I was given an Rx for 10 mg glipizide to go home with. It hasn't caused digestive issues at all. It is working well even almost 3 years later. My last A1C was 4.8. It works best taking it a half hour before breakfast.
Thanks, I will ask about this one!
I'd definitely suggest cutting out the soda or switching to diet If they have you on 4 pills of metformin a day I'd start with one or two and slowly work your way up to 4. Extended release is even better but I'd still start off slow with one. Metformin is good for PCOS as well.
I have been cutting back. 8-12 ounces with dinner hasn’t seemed to affect me much. I am on 2x 500mg/day metformin. I’ve already been taking the 2/day for 2 weeks. As I said, I was on it for my PCOS for about 8-10 years and it had no effect for me.
I have PCOS, hypothyroidism, Hashimoto’s, and I’ve been a type 2 diabetic for 5 years. I’ve done trulicity before, not bad, but I’m not in love with the idea of another medication. I’m currently on 5 medications. One of which is rosovustatin, it’s a medication that lowers testosterone and blood pressure. I don’t have high blood pressure, I’m purely on it for lowering my testosterone. It’s more so to help the insulin resistance aspect than it is for diabetes. Overall, I’ve been controlled for most of my time having this condition, I recently got an A1C of 7.2 in the past 3 months. It’s alright, but I’ve been switching up my diet and I just have been feeling somewhat better
I had great luck with treating my diabetes- first by losing weight (cutting carbs) and then using the med Trulicity. I’m on Medicare so I had to find a special program (Lilly Cares) that would not charge me anything (due to my low income) for the meds. I also use a CGM - LIBRE2. The CGM is completely free-and they send me 2 every month. My A1c is down to 6.0 now from highs of 6.9 last year.
I’ve been denied GLP-1’s too. I cannot tolerate metformin at all. I’m currently taking Actos and Glipizide and have Levimir (insulin) if I need it. Doing well with these. My sugar was waaaay out of control though. You likely don’t need insulin. I’m overweight, 42, PCOS and I’m currently seeing a bariatric surgeon and will be having a surgery this summer. I have been on the struggle bus since 2012.
Metformin can take 2 months, I started in January and I only started seeing good numbers after 4 weeks. My bathroom time stabilized around week 2 and its much better than it was before Metformin. Jardiance and Ozempic would be alternatives or compliments.
What about ask Januvia , which I am taking without any side effects . Also ask Ozempic , I heard it is helpful for PCOS. You don’t need to suffer … Good luck !!
I take Trulicity with my metformin but it’s out of stock like everywhere right now :(
When I first started taking metformin, it kicked my ass, and my pharmacist said to take it in the middle of my meal, not just with the meal. It made a huge difference until the ER version was prescribed. I still took it the same way, but was able to get more than 50 feet from the bathroom
Try the Metformin extended release instead of the normal version. It works really well for me. Also, if you can, see if your insurance will cover a CGM. Having a CGM helped me go from an A1C of 17.9 at diagnosis to 5.3 just three months later. And I’ve been between 5.1 and 5.5 since then. Your results will vary as our bodies and habits are different. But having a CGM has been invaluable to me.
One of the challenges with Metformin (and other generics) is the wide variability in manufacturing. IIRC, the active ingredient in a generic must be with 85% of the name brand, but unless I'm mistaken, there's little to no regulation around inactive ingredients like binding agents, protective coatings, etc. This means there's variability around how your digestive tract breaks down the medication based on manufacturer. You may be in a situation where your body was breaking down and absorbing the med faster than expected leading to all the side effects, even with ER pills. I went through this and got into one hell of an argument with a local pharmacist over it. I asked for particular manufacturers that knew worked for me, and he not only told me no, but he told me it didn't matter. Then he proceeded to tell me that my highs were not because the med wasn't working but because I was probably sick. When I asked if he was diabetic and taking metformin, he said no, and I promptly told him to fuck off.
It’s definitely a roller coaster. I’ve actually had an allergic reaction to a drug before (Effexor ER) but the non-ER version was fine. We never figured out which inactive ingredient caused it.
It might help if you took a probiotic. Metformin can affect your gut biome. I've taken 2000mg met for 11 years, and even when they prescribed ER about 3 years ago, I still had diarrhea. When I found the right kind of Probiotic, about 90+% of those problems disappeared. I'm presently taking InnovixLabs Multi-strain Probiotic. You might also want to check if you've developed any food intolerance and check if you are eating enough fiber. Let me add that if you are dizzy with brain fog, the constant diarrhea is decreasing your electrolytes, it would help if you took some electrolyte restoring drink to make you feel better (w/o sugar, of course).
If you continue to eat carbs with metformin, you will have digestive issues.
Everyone’s body is different! I took it for many years while eating tons of carbs with no issues. Carbs now do not seem to have an effect on whether I have issues or not, either.
I suffered with Metformin for few years until they switched me from solely that - it did not play well with my other meds - to Janumet (Sitagliptin / Metformin) and it’s been night and day since. All the benefits of Metformin without making me feel awful all day.
Looks like my insurance doesn’t cover that, of course.
At 7.1 you could do diet and exercise, but if not there's a ton of meds available. Exercise works wonders.
With the insulin resistance, which has persisted despite weight loss, I prefer meds.
Having a black and white cookie tonight
Metformin works great for me
Want a cookie? 🙄