Metformin Weight Loss

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Metformin Weight Loss - Weightloss Clinic

If you’re searching for an answer about whether metformin helps in weight loss, the short answer is yes. The long answer is a little complex, though, as metformin is a drug for type 2 diabetes and not approved by the FDA for weight loss. However, some research papers suggest metformin does help in weight loss.

If you want to know how check this article out or consult us at Weight Loss Clinic LA

What is metformin, and how does it work?

Metformin is a medication that helps lower blood sugar levels in people with type 2 diabetes. It works by decreasing glucose production in the liver, increasing the insulin sensitivity of body tissues, and increasing GDF15 secretion, which reduces appetite and caloric intake. 

Metformin is taken by mouth and is generally well tolerated. However, it has a small risk of causing low blood sugar or lactic acidosis, a dangerous build-up of lactic acid in the blood.

Functions of metformin

  • Reducing Glucose Absorption: Metformin decreases glucose absorption from the intestines, helping to control blood sugar levels.
  • Lowering Liver Glucose Production: It reduces sugar production by the liver, which contributes to elevated blood sugar levels.
  • Improving Insulin Sensitivity: Metformin enhances the body’s sensitivity to insulin, making it more effective in regulating blood sugar.

Benefits of metformin

  • Cardiovascular Benefits: Metformin not only helps lower blood sugar but also provides cardiovascular advantages. It reduces the risk of death due to cardiovascular disease in people with diabetes.
  • Weight Management: Some individuals experience weight loss while taking metformin. It can be effective in controlling body weight and reducing excess pounds.
  • Prediabetes: For those with elevated blood sugar (prediabetes), metformin may delay the onset of full-blown diabetes or even prevent it.
  • Gestational Diabetes: Pregnant women with gestational diabetes can benefit from metformin to manage blood sugar during pregnancy.
  • Polycystic Ovary Syndrome (PCOS): Metformin has been prescribed off-label for women with PCOS. It helps regulate menstrual cycles, improve fertility, and control elevated blood sugar.
  • Potential Anti-Aging Effects: Recent interest surrounds metformin’s potential to slow aging and extend life expectancy. While more research is needed, its impact on aging is intriguing

Popular metformin medicines

  • Glucophage: A common brand name for metformin.
  • Glumetza: Another brand used for metformin.
  • Glucophage XR: Extended-release metformin.
  • Fortamet: A brand of metformin with extended-release properties.
  • Riomet: A liquid form of metformin.

How does metformin contribute to weight loss?

Appetite suppression: Metformin can affect the central nervous system, which helps reduce appetite. This causes a person to eat food less than they usually do, which leads to weight loss.

Reduced absorption of glucose: Metformin helps the body use insulin more effectively, and as a result, it causes low blood sugar levels. When blood sugar is stable, the body is less likely to store excess glucose as fat.

Increased calorie expenditure: Studies suggest that metformin may increase calorie usage for energy and improve metabolic control. This may cause weight loss [1].

Promotion of fat oxidation: Metformin may burn fatty acids, making it easier for the body to use stored fat for energy.

Changes in gut microbiota: Metformin might influence the composition of gut bacteria, and some research suggests that alterations in the gut microbiota may be linked to changes in body weight.

How it works

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  • Follow Ups $250
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Dr. David Nazarian

Is metformin FDA-approved for weight loss?

No, metformin is not FDA-approved for weight loss. However, some studies show that it’s effective for weight loss but more research is needed to confirm its effectiveness and safety for this purpose.

What is the typical amount of weight loss with metformin?

Study suggests that obese or overweight people who took 850 mg of metformin twice a day had lost 5-10% of body weight over 2 years. The weight loss was sustained for up to 10 years [2].

In another study, people who took metformin for six months lost 5% of their body weight [3].

Is metformin prescribed specifically for weight loss?

Metformin is primarily prescribed for managing high blood sugar levels in individuals with type 2 diabetes. While it can lead to modest weight loss in some people, its primary purpose is not specifically for weight management. Always consult your healthcare provider for personalized advice regarding metformin use and any potential benefits or risks.

Are there any side effects of metformin related to weight loss?

Are there any side effects of metformin related to weight loss

  • Gastrointestinal symptoms: Metformin can cause nausea, vomiting, diarrhea, bloating, and abdominal pain, which may reduce appetite and food intake.
  • Lactic acidosis: Metformin can increase the risk of a rare but serious condition called lactic acidosis, which is a buildup of lactic acid in the blood. This can cause muscle pain, weakness, breathing problems, and low blood pressure.
  • Vitamin B12 deficiency: Metformin can interfere with the absorption of vitamin B12 from food, which can cause anemia, fatigue, nerve damage, and cognitive impairment.

Can everyone take metformin for weight loss?

No, metformin is not for everyone who wants to lose weight. According to the web search results, a doctor might prescribe metformin for weight loss if a person has normal blood sugar but exhibits insulin resistance and meets one of the following criteria:

  • A body mass index (BMI) of 30 or higher
  • A BMI of 27 or higher, along with a comorbidity such as high blood pressure, diabetes, or high cholesterol.

Who shouldn’t take metformin?

People who should not take metformin include:

  • Those who have kidney disease, liver disease, or heart failure
  • Those who drink excessive amounts of alcohol
  • Those who are allergic to metformin or any of its ingredients
  • Those who are pregnant or breastfeeding
  • Those who are planning to have surgery or certain imaging tests

Are there alternatives to metformin for weight loss?

Other diabetes medications

Some other drugs that are used to treat type 2 diabetes can also lower body weight, such as GLP-1 receptor agonists, amylin mimetics, and SGLT2 inhibitors. These medications work by affecting hormones, enzymes, or glucose transporters that regulate blood sugar, appetite, and energy metabolism. However, they may also have side effects and interactions, and they are usually more expensive than metformin.

Natural supplements

Some natural substances that are derived from plants or herbs can also have blood sugar-lowering and weight loss effects, such as berberine, bitter melon, cinnamon, and inoslim. These supplements may act by activating AMPK, enhancing insulin sensitivity, inhibiting glucose absorption, or modulating gut microbiota. However, they may also have limited evidence, variable quality, and potential interactions, and they are not regulated by the FDA.

Lifestyle modifications

The most effective and safest way to lose weight and improve blood sugar is to adopt healthy habits, such as eating a balanced diet, exercising regularly, managing stress, and getting enough sleep. These lifestyle changes can help lower blood glucose, increase fat burning, reduce inflammation, and improve overall health.

Metformin For Weight Loss Near Me

Weight Loss Clinic LA offers the best metformin for weight loss near me in Beverly Hills but can also come to your home or office throughout the Los Angeles area. We serve patients near Beverly Hills, Bel Air, West Hollywood, Santa Monica, West Los Angeles, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, Redondo Beach, Downtown Los Angeles, Encino, Woodland Hills, Sherman Oaks, Calabasas, Burbank, Glendale, Hidden Hills, Agoura Hills, Northridge, North Hollywood, Topanga, Canoga Park, Reseda, Valley Glen, Chatsworth, West Hills, Winnetka, Universal City, Silverlake, Echo Park, and many more.

References:

  1. Tokubuchi I, Tajiri Y, Iwata S, et al. Beneficial effects of metformin on energy metabolism and visceral fat volume through a possible mechanism of fatty acid oxidation in human subjects and rats. PLoS One. 2017;12(2):e0171293. Published 2017 Feb 3. doi:10.1371/journal.pone.0171293
  2. Diabetes Prevention Program Research Group. Long-term safety, tolerability, and weight loss associated with metformin in the Diabetes Prevention Program Outcomes Study. Diabetes Care. 2012;35(4):731-737. doi:10.2337/dc11-1299
  3. Feng, W., Gao, C., Bi, Y., Wu, M., Li, P., Shen, S., Chen, W., Yin, T., & Zhu, D. (2017). Randomized trial comparing the effects of gliclazide, liraglutide, and metformin on diabetes with non-alcoholic fatty liver disease. Journal of Diabetes, 9(8), 800-809. https://doi.org/10.1111/1753-0407.12555

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