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What questions would a doctor ask about using metformin for anti-aging and low energy after psychiatric medication?
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General Health
Question #29840
49 days ago
101

What questions would a doctor ask about using metformin for anti-aging and low energy after psychiatric medication?

Pawan

My question is that if asked you to prescribe me metformin for anti ageing. How would you have prescribed me? You have asked me what questions ? What Would you have asked me in my history ? I want to rule out that my use of metformin without prescription was actually the right way. I used metformin after 3 years psychiatry meds at 28 age. Normal doses. 40 tablets over 7 months. To be confident that i haven't harmed me in any way. After bupropion etizolam divalproex pregabalin-nt amisulpride lowest effective dose for 3 years given by md psychiatrist. I felt low energy after 3.5 years even with excercise, rest & diet always. I had taken l carnitine & folic acid after deficiency due to meds. But still energy sensitivity wasn't there. So i took metformin for glucose sensitivity. Was my decision right or atleast not harmful ? What should have I done otherwise for low energy or insulin sensitivity without tests.

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Doctors' responses

Hello dear See metformin is known to Lower sugar Improve insulin resistance It is quite safer in type 2 diabetics and is usually given in combination with suphonyl ureas However it has irritating impact on Cardiac Renal health Gastric issues Vitamin b12 In addition Commonest side-effect is lactic acidosis However as per clinical history The exposure is intermediate and may not cause serious effects But still i suggest you to please consult concerned physician or diabetologist for safety Accordingly get routine tests and inhibit the medication Regards

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Prescribing metformin specifically for anti-aging isn’t a common or standard practice, as it’s typically used for managing type 2 diabetes. However, if you had come to me looking for a prescription, I would have asked several questions to ensure your safety and assess whether it was appropriate. First, I would want to know about any previous or current medical conditions, especially related to kidney or liver function, since metformin is contraindicated in patients with certain renal and hepatic issues. I’d inquire about any symptoms like gastrointestinal disturbances you might have during those 40 tabs you used. Given your psychiatric medication history, I’d want to know about potential interactions or side effects that might affect your current medications. Low energy, despite efforts with exercise and diet, can be influenced by many factors, such as ongoing psychiatric conditions, residual effects of your medications, or nutritional imbalances.

I would have suggested checking blood glucose levels, HbA1c, and possibly insulin levels to determine if there is any indication of insulin resistance. While metformin might not have harmed you if taken responsibly, it’s essential to assess underlying problems first without making assumptions. For glucose sensitivity, lifestyle measures like a balanced diet rich in whole foods, regular physical activity, and perhaps consultations with a dietitian or endocrinologist might have been more appropriate initial steps. Remember, self-prescribing carries risks, and close monitoring by a healthcare provider ensures safety and efficacy. If you’re concerned about any potential side effects from the metformin or other treatments, getting a follow-up with your healthcare provider is prudent. They can tailor management strategies more precisely to your needs after appropriate evaluations.

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