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Old 07-08-2007, 09:01 PM   #1 (permalink)
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Default Dr. refuses to up Met dosage

Hi,

I am on 500 mg of MEt per day. I have been on this since about a little over a month ago. My side effects lasted a week or so then went away. I feel fine, no sickness unless I eat cetain things. I am now thinking that maybe I should up my dose, since I have heard that it really doesn't seem to be effective until 1500mg or more. Well I phoned the Dr. office and spoke with my nurse who basically told me that the Dr. I am seeing doesn't like to treat PCOS aggressively. Meaning, they want me to take 500 mg for 3 months and then go back. Well, I am along the liones of thinking that he is a quack, because I HAD to practically beg them to prescribe it to me in the first place. I had a blood test done at the Dr.'s office and my fasting blood sugar was either 63 or 68 (can't quite remember). So does this test say whether or not I am IR? They said my fasting blood sugar was fine but never said anything about my IR. (For all I know they are the same thing, I am clueless.) So do I see another Dr? Should they have done another test to determine whether or not I am IR?

Thanks,

Siobhan
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Old 07-09-2007, 03:53 AM   #2 (permalink)
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A fasting of 63 or 68 is good! They dont start to consider you IR until it is above 80. That is probably why they won't up the Met, not really taking into consideration that you want it for PCOS, not IR.
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Old 07-09-2007, 10:13 PM   #3 (permalink)
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Seems like its time to find a new doc. Someone who is willing to treat PCOS as "aggressively" as you wish to. Good luck!
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Old 07-09-2007, 11:02 PM   #4 (permalink)
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Mine was 88, but luckily I had a dr that was going to give it to me wether I was IR or not. It really is a good medication, but you have to be on an effective dose. 500mg is a starter dose, really. I'd say if you cant get this doc to up it to at least 1000mg, then find a new doc. Its your body, and you should be able to decide what you want. GL!!!
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Old 07-10-2007, 01:28 AM   #5 (permalink)
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I think you are seeing the same doc as me, lol. I was super frustrated with my endo, who put me on 750 mg xr a day for 3 months. When i went back to him, he treated me like a bad child for not having lost significant weight even though i've been doing the IR diet and exercising. No, i'm not doing it perfectly, but better than i have in a LONG time. He is older and super conservative, told me that met and spiro are only popularly believed to be effective, that the ONLY treatment i need is to lose weight and i would not have problems. He wanted to send me to a class to learn how to read food labels. Sorry to rant, he just aggrivates the heck out of me. When i saw him after 3 months, he told me to lose weight and come back in 6 months for more bloodwork. I told him this was completely unacceptable to know that my labs are significantly elevated and not check them for 9 months. So, begrudedly, he ordered labs, and guess what, still way off. So, he finally upped my dose to 1500/day, still refuses to give me spiro, but atleast i got somewhere. I'm going to give the higher dosage and more dedication to my diet and exercise a little time, then get a new endo if i'm not happy. Best of luck to you!
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Old 07-11-2007, 12:10 AM   #6 (permalink)
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I've been on 750mgs of Met/day since February. I've asked about upping the dose because I've heard that the ideal range for any affect is around 1500mgs. They didn't seem to think it would help me any-- probably because I'm not IR. They did put me on Spiro to get the testosterone levels down and that seems to be helping a bit.

I guess it really depends on your situation and where your levels are at.

Good luck to you!
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Old 07-11-2007, 01:01 AM   #7 (permalink)
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My doctor will not up mine either.....
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