Hi everyone. I was just officially diagnosed by my family doctor. He wanted to put me on BC pills, but I said not now. Then he prescribed only 500 mg. of Met. That is it. He said because my sugars aren't that bad. He never did a fasting glucose test or insulin test. I am in the middle of printing out material that says what dosage is working to help people with PCOS and I am going to highlight and mail it to him. Why did your doctors put you all on higher doses? Do you have any good articles that I could print out? Thanks everyone!
Kat has posted some good articles on this site. Starting at 500 mg is a good idea, but most of us work up to 1500 or 2000 mg. Being overweight or IR is not required for Met to be effective. I hope you're able to educate your doctor. If not, don't feel bad about shopping for new one.
__________________ Pam (34) Rob (37) Otis the Doberman (3)
TTC #1 since 01/03 2003- Clomid - HSG - SA 2004- Lap - Gonal-f 2005- Break 2006- Saving for IVF - Metformin - BFP 10/06
Katherine Olive was born July 16, 2007!!!
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My specialist put me on 850 and currently working my way up there and on 425.
Good Luck!
Lisa
__________________ Lisa
Officially DX November 2001
Insulin Resistant
IVF with PGD due to PCOS, MF & CF
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See, that is the thing. I told him about how everyone is on a higher dosage and that is when he said he is just keeping it at 500 because my sugars aren't that bad. I just don't understand where he is getting that info. I had gestational diabetes with my last baby, who is 8 mos. old. I had to be on insulin and everything. My fasting blood sugars are usually 115-125 when I check them at home. I am hoping with the info I am printing out he can get updated on the right way to treat this. Thanks again
My family dr is the one that diagnosed me as well. She prescribed me 500mg of glucophage, I also noticed how everyone was on a high dosage, I called and asked about an increase. So she had me come in and do some blood work, they never told me any numbers and stupid me forgot to ask, but she told me just to keep taking the 500 mg. Well when I went to my ob/gyn for my annual exam, I talked to him about it and told him how much glucophage I was on and he was shocked that my family dr hadn't given me more. So he took over and prescribed me 2000mg of glucophage a day, so maybe you just need to check with another dr on how much should be taken to help you.
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Ashleigh (11-12-98)
AJ (2-20-03)
Adrian (12-15-04)
I am having the same problem with my doctor as well. She will not increase my dose past 500mg per day and has said unless I am TTC she sees no reason to increase it. I brought my concerns back to her a few weeks ago...that despite eating well and exercise(cardio and weight training) I am not dropping that much weight at all. I even asked for a referral to an endocrinologist and she doesn't seem very keen to send me. She told me I should see the gyno! I have an endo in my neighbourhood who deals with PCOS(I called her office) but I think my doctor doesn't like her because she made this face when I said her name. I just switched to this doctor so I am at a loss as to what to do now.
It sounds like a good idea for your doctor to read some articles and get up-to-date on PCOS treatments. I just went through the same problem- I visited multiple RE's who would not prescribe me any metformin, but OCP's instead- but I finally triumphed and got 2000mg a day of metformin. I finally found a specialized doctor for PCOS, so the articles turned out to be unnecessary for her but helpful for me. There is a thread somewhere that locates good PCOS doctors in different cities. Maybe you should consider a second opinion from a tried and true PCOS specialist. Anyway, here are a few good articles:
Futterweit et. al 3 Viewpoints on PCOS Endocrine News 2004
(you have to click on each link to read each person's "viewpoint." They're all respected authors, and they all support high doses of metformin for PCOS patients.
Morin-Papunin et al. Metformin Versus Enthinyl Estradiol-Cyproterone Acetate in the Treatment of Non-obese Women with Polycystic Ovary Syndrome Journal of Clinical Endocrinology and Metabolism 2003
Thank you for the information! I will send you a PM because I am very interested in getting more information from you.
There is a hospital in Toronto that deals with PCOS. It is difficult for me to get there because I don't drive and the commute would take forever. I may just have to do it to get the help I need.
So, I mailed out the info that I printed to my doctor on Friday afternoon. Well, yesterday at 12 he called me and said he recieved the packet. He said that at first he was a little offended and I was like "Nooooo, don't be offended!" I proceeded to explain to him my reasoning for mailing those. I told him how so many women are having to go to one doctor after another to try and get the right treatment and that I am just trying to be more proactive in my care. He said to me that he wants to start me on the 500 of Met and then go from there. He then said that he might put me on Actos in addition to the Met. He wants me to come back in a month and then we will re-evaluate the meds. I only mailed the info out to him because he said that he is only keeping me on 500. He never said anything about increasing or adding in another med. So, we talked and I feel he understood where I was coming from. I did let him know that I think he is a good doctor and that I am glad he doesn't dismiss people and their symptoms. He joked back that he has only been doing this for 5 years and to check back with him in 10 years, LOL! So, I think we are still cool with eachother. Just wanted to update.
Doctor only gave 500mg of Met?? 
