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Oral Metformin ER
Oral Metformin, used for Polycystic Ovary Syndrome (PCOS), enhances insulin sensitivity, lowering blood sugar and managing insulin resistance. It helps alleviate PCOS symptoms like irregular periods, excessive hair growth, and acne.
Extended-release (ER) Metformin offers a slower medication release, which can help minimize gastrointestinal side effects like nausea and diarrhea, helping to improve tolerability.
Key ingredients include: Metformin
Take 1 tablet in the with fiber rich food daily. It's crucial to follow your healthcare provider's instructions precisely.
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Oral Metformin ER
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How Oana works
Start your journey to better health with just a few clicks.
Complete a 5-min online visit
Fill out a brief intake on your medical history and specific health needs.
Get medical approval
A licensed medical professional will review your health history to prescribe your treatment.
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All treatments are shipped directly to you with free shipping.
Why choose Oana?
Accessible
No need to visit a doctor's office or pharmacy. Our physicians see you from the comfort of your home then mail your treatments directly to your door.
Clinically-backed
All of our treatments are doctor trusted, evidence based, and custom made for you in FDA regulated pharmacies.
Affordable
We leverage telemedicine and compounding pharmacy services to offer you affordable pricing. Access our prescriptions with just a $20 doctor fee.
Frequently
Asked
Questions
Metformin ER (extended-release) and metformin IR (immediate-release) are utilized in the treatment of Polycystic Ovary Syndrome (PCOS) to manage insulin resistance, a common condition associated with PCOS. Metformin ER is designed to release the medication gradually in your body, reducing the risk of gastrointestinal side effects commonly associated with the immediate-release form of Metformin. This slower release also means it can be taken less frequently which can improve adherence to the medication regimen.
While Metformin ER is primarily prescribed to manage blood sugar levels in people with type 2 diabetes and to address symptoms of PCOS, some patients may experience weight loss as a side effect. It's believed that Metformin can influence appetite and energy expenditure.
A single dose of metformin ER has the capability to regulate your blood sugar levels for approximately 12 hours. However, should you cease taking the medication, it typically requires around 4 days for the majority of it to be expelled from your body. This duration is largely calculated from the half-life of metformin ER and may vary based on individual health factors and genetic makeup, meaning the exact time frame could differ from person to person.
It is commonly believed that Metformin can cause a reduction in Vitamin B12 levels, possibly by interfering with its absorption or through another mechanism. For this reason, we advise patients on Metformin to either monitor their B12 levels or take extra B12 as a precaution. However, some studies suggest there is no significant connection between Metformin use and B12 levels.
Regardless of Metformin use, it's important to maintain proper levels of Vitamin B12. For adults under 65, the easiest way to get B12 is to take at least one 2,000 mcg supplement each week or a daily dose of 50 mcg. Note that these doses are specific to cyanocobalamin, the preferred supplemental form of Vitamin B12.
As we age, our ability to absorb Vitamin B12 may decline. For those over 65, especially those on plant-based diets, supplementation should probably be increased to 1,000 mcg of cyanocobalamin daily.
B12 supplements are very cheap. Here is one option we found: 5c per 2500mcg tablet, so 5-15cents of cost per week depending on your age.
Metformin is not typically associated with a risk of reducing blood sugar to dangerously low levels. However, individual tolerance to lower blood sugar levels varies. Consequently, Metformin might cause symptoms of low blood sugar in some patients, such as lightheadedness, nausea, and fatigue. Starting at a low dose and gradually increasing it can be helpful. Based on our experience, most patients with a history of hypoglycemia can tolerate lower doses of Metformin, such as 500mg per day.
Oana is for adults with PCOS who want to improve or support their symptoms & health - and prefer to do so from the comfort of their home.
The usual starting dose of metformin extended-release tablet is 500 mg once daily with an evening meal. Chat with Oana doctors to figure out the dosage that's appropriate for your needs.
The risk of significant lactic acidosis associated with metformin is extremely rare when the medication is taken at appropriate doses and when the kidneys are functioning properly. However, as a precautionary measure, we recommend that patients discontinue metformin usage at least 3 days prior to undergoing any medical procedure or imaging that involves the use of contrast agents, such as a CT scan.