PCOS/metformin/weight loss

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pippywillow
pippywillow Posts: 253 Member
edited January 24 in Health and Weight Loss
I've been on metformin for 3 weeks now for my pcos. My doctor told me it would help lose weight too. I'm curious about other's experience with it.

In the past week I've lost 4 lbs, which is great. But I'm so tired all the time. The other side effects seem to be getting better (the diarrhea and belly pain is almost gone). But is this normal? And is it healthy to lose so fast? Could the weight loss be connected to the tiredness?

I know someone is going to tell me I'm not eating enough, I eat plenty, I eat till I'm full and I'm usually about 200 under my calorie limit.

I am also giving up diet pepsi at the same time.

Replies

  • Some_Watery_Tart
    Some_Watery_Tart Posts: 2,250 Member
    Ok, I'm gonna get this out of the way since you've already acknowledged that it's coming: you're probably tired because you're not eating enough. There it is. You should probably also consider exercising more. If you have an issue that requires you to be on Metformin, you should really consider consulting a nutritionist.

    That said, I've been on metformin since November. I lost a few pounds initially, but found that was mostly because of the side effects. Then the weight loss stopped completely within 6 weeks. That is until I finally got my diet in check. It took a whole lot of research and talking to multiple nutritionists until I found one that really understood my needs and lifestyle. And then I had to start eating more and eating different. I went from 1000 calories per day and work my way up (200 calories every couple weeks) and now have found that I reach peak weight loss at about 1700 calories per day. When I started I couldn't have forced that much food down. I had to work my way up. But now I have so much more energy and my mental focus is better. It's amazing!

    I also have to get exercise and a lot of it! I spend 5-6 hours per week exercising. I carve every minute out that I can. I totally understand the demands of being a wife and mom, but you have to make time for yourself. I have 5 kids and full time career. But I guarantee if you do it for a couple weeks, you'll have more energy. It's not easy, but it's necessary. If you need suggestions on how to work it in, let me know. I have lots of experience and ideas. :smile:

    Bottom line: Metformin will likely NOT make you lose weight long term. However, it will make a healthy diet and exercise routine more effective. Added bonus: all the crazy hormonal stuff you've probably been experiencing from your PCOS will become MUCH better. Yay! :flowerforyou:
  • pippywillow
    pippywillow Posts: 253 Member
    Thank you SarahCate for an honest answer :)

    I probably should look into seeing a nutritionist. I hadn't really put much thought into it but I bet it would help. I'm on metformin solely for my pcos because my testosterone was high, I've never been prediabetic despite weighing over 300lbs when I started this journey. He told me metformin was usually for diabetics.

    I can definately eat more no problem. But when I do I feel sluggish and icky. I feel like I did before I started trying to lose weight. I don't want to wake up in the morning still full from the night before. I started eating better because I wanted more energy, and it was working great for the first couple months. Then I started this medicine and the weight is coming off really fast, but all my energy is gone. I'm going to keep going with it and see if it will get better.

    You're right my hormonal weird stuff is getting better. Yay for no more acne!
  • Some_Watery_Tart
    Some_Watery_Tart Posts: 2,250 Member
    Yes, the benefits of the metformin far outweight the side effects for me! I'm on it for what they call "Metabolic Syndrome". I've also been able to finally get my migraines under control after 10 years. :) But *definitely* consider a nutritionist. It's a huge help, not to mention time-savings, to have someone on your team that understands your individual needs. There is no one-size-fits-all diet.

    If you want to try eating more, just add a little at a time and make sure it's nutrient-dense food. Add veggies, fruits, and some lean protein. I started with just a small protein shake in the afternoon and a big veggie salad with dinner. And don't panic if you see the scale inch up a little on you in the first 4-5 weeks. Your body needs some time to re-adjust. I used the "In Place of a Road Map" post (http://www.myfitnesspal.com/topics/show/974888-in-place-of-a-road-map-2k13) to determine where my intake should be. My nutritionist has helped me fine tune it. The calories it shows are going to be much higher than you expect, so brace yourself and remember: it's a goal. You'll have to work your way up. And be ready to feel better!

    Also, let your doctor know if your lack of energy doesn't start to get better after a while. It could be your diet; it could be from cutting out pepsi; it could be something else. You know your body. If you think there's reason for concern, it's can't hurt to get checked out to make sure there's not a serious underlying medical problem.
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