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How To Take Metformin | How To Start Taking Metformin | How To Reduce Metformin Side Effects (2018)

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How To Take Metformin Without Side Effects | When Is The Best Time To Take Metformin | How To Build Up Metformin | Metformin 500mg Side Effects Constipation Diarrhea Hey guys! This weeks video is about metformin and the importance of slowly building up your dose to the prescribed dose to help reduce it's side effects when you're first started on it. Metformin is a medicine used to treat type 2 diabetes and sometimes polycystic ovary syndrome (PCOS). Type 2 diabetes is an illness where the body doesn't make enough insulin, or the insulin that it makes doesn't work properly. This can cause high blood sugar levels (hyperglycemia). PCOS is a condition that affects how the ovaries work. KEY FACTS: • Metformin works by reducing the amount of sugar your liver releases into your blood. It also makes your body respond better to insulin. Insulin is the hormone that controls the level of sugar in your blood. • It's best to take metformin with a meal to reduce the side effects. • The most common side effects are feeling sick, vomiting, diarrhoea, stomach ache and going off your food. • Metformin does not cause weight gain (unlike some other diabetes medicines). • Metformin may also be called by the brand names Bolamyn, Diagemet, Glucient, Glucophage, and Metabet. HOW AND WHEN TO TAKE: It's best to take metformin tablets with a meal to reduce the side effects. Swallow your metformin tablets whole with a glass of water. Do not chew them. Metformin tablets come in different strengths. Your doctor will tell you how many tablets to take a day. DIFFERENT TYPES OF METFORMIN: Metformin comes as 2 different types of tablet - standard-release tablets and slow-release tablets. Standard-release tablets release metformin into your body quickly. You may need to take them several times a day depending on your dose. Slow-release tablets dissolve slowly so you don't have to take them as often. Your doctor or pharmacist will explain what type of metformin tablets you are on and how to take them. Metformin is also available as a liquid for children and people who find it difficult to swallow tablets. Liquid metformin is called by the brand name Riomet. WILL MY DOSE GO UP OR DOWN: Your doctor will check your blood sugar levels regularly and may change your dose of metformin if necessary. When you first start taking metformin standard-release tablets you will be advised to increase the dose slowly. This reduces the chances of getting side effects. (See video for explanation on how to build up dose slowly) If you find you can't tolerate the side effects of standard-release metformin, your doctor may suggest switching to slow-release tablets. HOW TO COPE WITH SIDE EFFECTS: • Feeling sick - take metformin with food to reduce the chances of feeling sick - it may also help to slowly increase your dose over several weeks. • Diarrhoea or vomiting - have small but frequent sips of water. It may also help to take oral rehydration solutions which you can buy from a pharmacy or supermarket to prevent dehydration. Don't take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor. • Metallic taste in the mouth - if you find that metformin is giving you a metallic taste in the mouth, try chewing sugar-free gum. If you find you are suffering from side effects talk to your doctor about switching to a slow-release tablet. MORE INFORMATION ABOUT METFORMIN: Visit the following links to learn more about metformin and serious side effects or allergies which will need medical attention. https://beta.nhs.uk/medicines/metformin/ https://patient.info/medicine/metformin-for-diabetes Want to see more videos about everything health and pharmacy? Let me know in the comments below. Subscribe for new videos ▶https://www.youtube.com/c/AbrahamThePharmacist LET'S CONNECT: http://facebook.com/AbrahamThePharmacist http://instagram.com/AbrahamThePharmacist https://www.linkedin.com/in/AbrahamThePharmacist https://plus.google.com/u/4/109698449114086481589 https://twitter.com/AbrahamThePharm https://www.AbrahamThePharmacist.com https://www.youtube.com/c/AbrahamThePharmacist ABOUT ME: Prescribing Media Pharmacist | Bringing Science Through New Film Every Monday | Extreme Optimist I'm a British - Persian - Iranian prescribing media pharmacist who loves science, making videos and helping people. I work in both GP surgeries and community pharmacy. DISCLAIMER: This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Abraham The Pharmacist has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.
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Текстовые комментарии (65)
joseph vinod (6 месяцев назад)
early squad. wonderful video. I had many patients asking me about more information about metformin and i will use this video in my patient counselling sessions.
ferdilyn malagday (1 месяц назад)
I have a PCOS but im taking methaformin without the doctors prescribe but im taking it after breakfast once a day so far no side effect:)
AbrahamThePharmacist (6 месяцев назад)
joseph vinod thanks for commenting please do 😃
Mikael Vitaly Vyacheslav (3 дня назад)
This is a very good drug "Metformin" to take if you eat a low carb diet and no white flour , no grains , no potaoes , no starch , no beans ,no fruit , and eat a healthy moderate protein diet , you can lose a lot of weight .if you keep your blood sugar below 90 and you do fasting , you will never get heart disease or cancer . ----"What foods should I avoid if I have cancer?" This is the single most frequently asked question from people with cancer. The answer, of course, is complicated, but controlling your cancer through "diet "comes down to two principles: controlling your body's oxidation levels to prevent cancer and limiting your "sugar intake" to prevent metastasizing of cancers. There are three causes of diabetes that trigger cancer growth when your blood sugar is uncontrolled: 1. Fruit juices, sweet drinks, and refined carbs. A soft drink contains 10% sugar. So in a 1-liter bottle, you have just consumed 100 grams of sugar. If you do this three times a day and do that for 4 days, you have actually consumed about 1.2 kilograms of sugar. That is more than 2 pounds of sugar. It is beyond what the body can metabolize. We are practically growing cancer farms ! . 2. Avoid all Oily foods, especially " polyunsaturated " fatty acids. Avoid polyunsaturated foods, and fats Foods and oils with higher amounts of polyunsaturated fats include : Walnuts. Sunflower seeds. Flax seeds or flax oil. Fish, such as salmon, mackerel, herring, albacore tuna, and trout. Corn oil. Soybean oil. Safflower oil. Canola Oil Peanut Oil Perhaps the only known oils that do not damage the" liver " are coconut oil and lard. They are both saturated fats and in chemistry are not subjected to free radical attacks. Put a vegetable oil in the sun, side to side with coconut oil, and in one month the coconut oil remains the same but the vegetable oil will turn to glue. Imagine what happens if this occurs in the body as fats and oil tend to accumulate and stay in your body for a long time. Once the liver is damaged, it can't handle the body's sugars as well. 3. Avoid Foods That Are High in Lectins such as Red Kidney Beans, Soybeans , Peanuts, Potatoes, The highest concentrations of lectins are found in foods like legumes, grains and nightshade vegetables Avoid all Wheat products; Wheat contains a protein that destroys your pancreas, and studies show that this alone can initiate type 1 diabetes. Now in a cancer patient, if the pancreas doesn't work the blood sugar gets high, but as the pancreas gets destroyed, it can't produce pancreatic enzymes. Without enough enzymes in your system, the body cannot digest the food and we end up having cancer cachexia. "" What Not to Eat "" ; As for a short list of what not to eat, here is an excerpt from one of my private emails: NO WHEAT PRODUCTS , NO CORN PRODUCTS . NO fruit or fruit juices , NO Milk . NO COFFEE , NO sweet drinks or sodas NO sugar or artificial sugars. NO corn syrup or fructose. No Dairy NO carbonated water. Plain UN -chlorinated water is always . NO vegetable oils ...except coconut oil used in cooking. NO fried foods. NO calcium. NO large meals consisting largely of meats. On the positive side, do drink plenty of water Do not eat before sleep and no large meals at dinner. Dinnertime is best before 5 p.m. No meals after this. Obviously, no snacks and bakery products. Supplements that reduce blood sugar are helpful, as in glucophage (metformin) twice a day, B3 250 mg three times a day, and vitamin B-1 , 100 mg three times a day . Organic White tea is also important in flushing out excess sugar, while lysine, threonine, , Vitamin C, proline, tannic acid and perhaps organic green tea can help . It is MOST important, though, to get blood sugar below or equal to 90 mg/dL. You have a 97% better survival rate from cancer if you do. --- Controlling Your Blood Sugar When You Have Cancer --- My method for checking blood sugar is to do so 1 HOUR AFTER eating food. Most medical practitioners today measure blood sugar based on 12-hour fasting blood sugar, which is the wrong way to measure with cancer. The reason why they are wrong is cancer becomes metastatic after a blood sugar spike ONE HOUR AFTER A MEAL. The cancer becomes metastatic in the second hour. Obviously you have to find a cure for diabetes to cure cancer, but in more reasonable terms, if you can CONTROL BLOOD SUGAR not to exceed 110 the cancer simply can't go into metastasis. I have found three substances that get blood sugar down, namely: N acetyl Cystiene Beta carotene (mostly found in carrots) Bitter cucumber. The Nacetyl cysteine has a long-term effect (which takes about a week) to get blood sugar down, but the quickest is freshly squeezed carrot juice alone or with bitter cucumber. That gets blood sugar down fairly quickly, always less than 110. Research circles surmise that diabetes is due to a deficiency in beta-carotene and cryptoxanthin (the yellow pigments in carrot, pumpkins and orange rinds). Beta-carotene is a provitamin of Vitamin A. From my own observation I have found provitamins, or percursors of vitamins, to be far more effective than the vitamins themselves in a few cases, such as panthenol, which is a vitamin B5 of pantothenic acid or beta-carotene for example. These get blood sugar down very quickly and also have a stabilizing effect on blood pressure (in some cases there is no need to take blood pressure medicine if carrot juice is consumed). Most people with cancer are diabetic. However, most do not know they have diabetes or are border line , even if they did measure their blood sugar. Now, cancerous tumors require "sugar" and "glucose" for them to persist, but they REQUIRE FRUCTOSE TO METASTASIZE. The best way to stop the metastasis has got to be lysine , BUT WITHOUT THE CALCIUM or any dairy products . But the trigger for metastasis cancer is fructose and sugar levels. The facts on this issue of cancer survival are based on a Journal of American Medical Association (JAMA) report, that people who have more than 90 mg/dL of blood sugar have a 97% increased chance of dying. And those with blood sugar below or equal to 90 mg/dL have a 97% greater chance of survival. It's a key fact that people keep overlooking. A cancer can reach general metastasis within 2 hours after consuming most fructose, especially in fruit juices of all kinds. Cancer here in Thailand exploded in the past 5 years here, right after national sales of fruit juices skyrocketed. So it's no coincidence that fruit juices, even without added sugar (called sucrose), do contain large amounts of sugars, such as the fructose found in fruits to begin with. People tell me how healthy fruits are, and of course they are healthy, for healthy people. What we fail to realize is that research studies assume people with normal blood sugar find them beneficial, and also that in laboratory rats, we prepare fruit extracts, WITHOUT the sugar fructose. Fructose is more dangerous then sucrose, but sucrose is a double sugar that has fructose and glucose built in. The body's insulin merely controls your blood glucose, but has no control of fructose directly allowing fructose, as a Trojan horse to damage the system . Regardless of the type of sugar consumed, too much sugar can cause problems. It leads to fermentation in the body that feeds and promotes yeast growth and negative bacteria. Overeating sugary foods causes constipation and gas, and this gas can back up into the bloodstream. This is where most diseases originate–from candida to cancer and everything in between. If you want to be healthy, you must learn to cut back on sugary , refine-carbs and starchy foods. The Obesity Code: Unlocking the Secrets of Weight Loss Paperback – Mar 4 2016 by Dr. Jason Fung (Author) --- ---https://www.amazon.com/.../177164.../ref=tmm_pap_swatch_0... Cancer---- In 2013 Tim was diagnosed with a rare form of cancer called Synovial Sarcoma. https://www.toughliketim.com/story.html Identifying stressful areas in your life is the first step toward reclaiming your health. Lack of enjoyment of life, money issues, worry, and fear build stress. But the most common stress on the body is eating and abusing harmful foods. Abusing foods is the most common stress to the body. People consume foods that were never meant to be in our body, they eat foods in amounts that the body can’t manage, and they eat at times they shouldn’t be eating. Before viewing my diet suggestions, please understand that health begins with what you eliminate from your diet, not with what you add. The first step in recovery and healing is to remove the problem foods from your diet. Then you can replace them with the healthy food you should have been eating from the beginning. ++-- The Causes At a fundamental level, obesity occurs when people regularly eat and drink more calories than they use. Besides a person's eating behavior, a number of factors can contribute to obesity, including a lack of physical activity, a lack of sleep, (sleep apnea) genetics and the use of certain medications that can cause weight gain or water retention, such as corticosteroids, antidepressants or some seizure medications. Modern culture and conveniences also, in part, contribute to obesity. According to the Mayo Clinic, environmental factors that promote obesity include: Oversized food portions, busy work schedules with little time for an active lifestyle, limited access to healthy foods at supermarkets, easy access to fast food and lack of safe places for physical activity. The Obesity Code: Unlocking the Secrets of Weight Loss Paperback – Mar 4 2016 by Dr. Jason Fung (Author) ---https://www.amazon.com/.../177164.../ref=tmm_pap_swatch_0...
Shhh Poppin (9 дней назад)
I take it once a day, usually during dinner and I’m having diarrhea. Should I cut the pill in half
AbrahamThePharmacist (8 дней назад)
Thanks for commenting, please speak to your pharmacist about this they will be able to help :) Stay tuned for new videos every other Monday 4pm(GMT), hope you enjoy them too :) Feel free to subscribe and click the 🔔button to stay up to date.
cheers (19 дней назад)
i stopped taking metformin 5 weeks ago and i feel much better..
Reah Subla (24 дня назад)
Thank you for this sir. I am really hesitating to take this med for the first time tonight. I've seen so many comments about the side effects. :(
AbrahamThePharmacist (21 день назад)
Thanks for commenting, hope my video helps :) Stay tuned for new videos every other Monday 4pm(GMT), hope you enjoy them too :) Feel free to subscribe and click the 🔔button to stay up to date.
NoorulainNadeem Taqvi (1 месяц назад)
Wonderful video keep it up
AbrahamThePharmacist (1 месяц назад)
Thanks for commenting, glad I could help :) Stay tuned for new videos every other Monday 4pm(GMT), hope you enjoy them too :) Feel free to subscribe and click the 🔔button to stay up to date.
Snuggz 1 (1 месяц назад)
Omg, thank you so much for this video , my doctor did not tell me this. I am definitely going to try this because I was having bad side effects. Thanks again, great video 🙂
AbrahamThePharmacist (1 месяц назад)
Thanks for commenting, glad I could help :) Stay tuned for new videos every other Monday 4pm(GMT), hope you enjoy them too :) Feel free to subscribe and click the 🔔button to stay up to date.
DarkHorse17 (1 месяц назад)
Taking two pills a day is such a pain sigh 😐
Owusu Samuel (1 месяц назад)
Am having a rashes around my penis n scrotum
Maria Dacosta (1 месяц назад)
Metformin made me allopecia, only 4 months later, my hair started to fall off, specially around the face. I took one year to recover my hair after lots of vitamines. So, for me, Metformin never more. I took it to try to loose weight, which I didn’t.
Jean Groves (1 месяц назад)
Do you come off metmorphin when your blood sugar goes down to 42 from 48
Paula Franklin (1 день назад)
How were u even standing with a B/S that low?
mona Hassan (2 месяца назад)
hi i wana use it for lossing my weight. i m confuse about taking the tablet before the meal or after?
Laila Had (1 месяц назад)
mona Hassan after the meal
Andy Reeves (2 месяца назад)
My side effects were so severe, I was up in the middle of the night feeling like death in my bathroom. My doctor put me in 1000 mg a day IMMEDIATELY after diagnosing me. My results have been terrible because I completely stopped taking the medication, I’m going to start taking only 500 mg a day now. Spilt the tab in two and take one with breakfast and the other with dinner! Thank so much for this video!!!
AbrahamThePharmacist (2 месяца назад)
Thanks for commenting, glad I could help. Stay tuned for new videos every other Monday 4pm(GMT), hope you enjoy them too :) Feel free to subscribe and click the 🔔button to stay up to date.
sam09 (2 месяца назад)
Used in type 1 diabetes too. What a joke
Cheryl Lyons (3 месяца назад)
This shit will kill you. You can get something much better for your body. This a cheap pill that will kill your kidneys
Nachos Fredrcik (3 месяца назад)
I've been on this for months now and I found this video to be very insightful. I kinda knew what it did before by an explanation from the doctor. But the visualizations in the video explained it better.
AbrahamThePharmacist (3 месяца назад)
Thanks for commenting, glad I could help :)
liam knight (3 месяца назад)
Like how you're so down to earth, using some cardboard and a market pen to draw a guide excellent
AbrahamThePharmacist (3 месяца назад)
Thanks for commenting, glad you like my style :)
Jean Doe (4 месяца назад)
Thank you so much Abraham it helps a lot i was diagnose with PCOS when I was 13 years old imagine taking pills until 28 LOL. But i just recently try this metformin because im afraid of side effect. Thumbs up 👍
AbrahamThePharmacist (4 месяца назад)
Thanks for commenting, really glad to hear my video has helped you :) Stay tuned for new videos every other Monday 4pm(GMT), hope you enjoy them too :) Feel free to subscribe and click the 🔔button to stay up to date.
Patrick McCurry (4 месяца назад)
I feel so lucky that I never experienced any side effects on Metformin even back when I took 1000 mg twice a day.
AbrahamThePharmacist (4 месяца назад)
Thanks for commenting, great to hear you didn't experience any side effects :) Stay tuned for new videos every Monday hope you enjoy them too. Feel free to subscribe to stay up to date.
Reem S (4 месяца назад)
thank you, what about crush the tablet I just read it in NHS its decrease the pain in stomach
AbrahamThePharmacist (4 месяца назад)
Thanks for commenting I have never read about this, please send over the article. Please note you can crush standard metformin tablets using a pill crush but You CANNOT crush modified release metformin. Stay tuned for new videos every Monday hope you enjoy them too. Feel free to subscribe to stay up to date.
Raxana Castillo (4 месяца назад)
What if my heavy meal is my brunch around 10/11am? My doc wants 3x a day. But wants me to start for the 1st 3months 2 a day.
AbrahamThePharmacist (4 месяца назад)
Thanks for commenting, if brunch is your biggest meal of the day then start with taking it then to reduce side effects. Might be worth mentioning my guide to your doctor or pharmacist so they can advise better too. Stay tuned for new weekly videos every Monday, hope you enjoy them too :) Feel free to subscribe to stay up to date.
NAUGHTY beauty (4 месяца назад)
hii... I am 23 yrs od.l my weight is 56 kg. can i take metformin 500?how long time I use it? is it give any side effects??? Please answer my questions....i am sooooooo waiting !!!!!😇😇😇😇😇
AbrahamThePharmacist (4 месяца назад)
Thanks for commenting, please speak to your doctor about this. This video is only intended for patients prescribed Metformin for Type 2 diabetes. Stay tuned for new weekly videos every Monday, hope you enjoy them too :) Feel free to subscribe to stay up to date.
Laura Ireland (5 месяцев назад)
Great video but what about talking to your nurse? often its nurses in primary care starting metformin
AbrahamThePharmacist (5 месяцев назад)
Thank you for commenting I actually thought the same thing whilst I was editing, I didn't realise how much I said doctor until editing, then it was too late. So yes 100% agree with you and people should know that they can also speak to their diabetic nurse, advance nurse practitioner, nurse too. Stay tuned for new weekly videos every Monday, hope you enjoy them too :) Feel free to subscribe to stay up to date.
prama khan (5 месяцев назад)
Is it help for weight loses???? Can i take it for weight losse???
AbrahamThePharmacist (5 месяцев назад)
Thanks for commenting, please speak to your doctor about this. This video is only intended for patients prescribed Metformin for Type 2 diabetes. Stay tuned for new weekly videos every Monday, hope you enjoy them too :) Feel free to subscribe to stay up to date.
Roxan Hakami (6 месяцев назад)
The best doctor in youtube!
AbrahamThePharmacist (5 месяцев назад)
Thank you for commenting glad you liked it 😃
NLL97 (6 месяцев назад)
Great video as always!
AbrahamThePharmacist (5 месяцев назад)
Thank you for commenting glad you liked it 😃
Nick C33444 (6 месяцев назад)
How are you so productive don't you get tired? How do you manage your current lifestyle? I need motivation to get out of my bed. Amazing video by the way wish you would have made it 3 months ago when I started on these.
AbrahamThePharmacist (6 месяцев назад)
I just love what I do and it gives me the motivation and drive to keep on doing it. Maybe I shall do a video on being productive :) Thanks for the comment shame it's too late hopefully more people will see the video who are starting metformin.
Lewis Bean (6 месяцев назад)
great video! will send this to my uncle he's just started taking metformin, cheers Abrahamthepharmacist
AbrahamThePharmacist (6 месяцев назад)
Thank you for commenting :) Please do :)
patricia bennett (6 месяцев назад)
Super pharmacist, explaining in an easy way. Great guy with the ability to connect.Can you possibly inform about thyroxine, please. Thank you for video and blessings and greetings and hugs.
AbrahamThePharmacist (6 месяцев назад)
Thanks for the great comment really made me smile :) What would you like to know about thyroxine? I did make a video on Levothyroxine a couple of weeks ago if that helps? https://www.youtube.com/watch?v=dC2PwVvJmxY
B Hud (6 месяцев назад)
Thanks for making this vid Abraham gonna send it to my auntie.
AbrahamThePharmacist (6 месяцев назад)
Thanks for commenting, please do :)
Tai Clop (6 месяцев назад)
The king of pharmacy does it again, will show this video to my dad
Md.Sharif Sheik (1 месяц назад)
Metformin 500 mg when should we take it before or after meals. Thanks in advance
AbrahamThePharmacist (6 месяцев назад)
Tai Clop thanks for commenting 😃
Dama Vand (6 месяцев назад)
Inspirational pharmacist, love this one
AbrahamThePharmacist (6 месяцев назад)
Dama Vand thanks for commenting 😃
Medicines (6 месяцев назад)
Expertly done
AbrahamThePharmacist (6 месяцев назад)
Medicines thanks for commenting 😃
Moudy K (6 месяцев назад)
Great job it's so important to slowly build the dose of metformin to reduce side effects. Nicely done with the demonstration too.
AbrahamThePharmacist (6 месяцев назад)
Moudy K thanks for commenting 😃
ETP Iy (6 месяцев назад)
1.51 love how you show how to increase the dose of metformin!
AbrahamThePharmacist (6 месяцев назад)
ETP Iy thanks for commenting 😃

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