Metformin resistance

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    Metformin resistance


    New study below."Although the newly developed second-generation anti-androgen drug enzalutamide can repress prostate cancer progression significantly, it only extends the survival of prostate cancer patients by 4-6 months mainly due to the occurrence of enzalutamide resistance.""We showed that metformin alleviated resistance to enzalutamide by inhibiting EMT.""These findings suggest that combination of metformin with enzalutamide could be a more efficacious therapeutic strategy ..."nih.gov/pubmed/288... Author information1Department of Urology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing 400042, China.2Department of Bio-Medical Sciences, Philadelphia College of Osteopathic Medicine, 4170 City Avenue, Philadelphia, PA 19131, USA. Liu Q1, Tong D1, Liu G1, Xu J1, Do K2, Geary K2, Zhang D2, Zhang J1, Zhang Y1, Li Y1, Bi G1, Lan W1, Jiang J1. Metformin reverses prostate cancer resistance to enzalutamide by targeting TGF-β1/STAT3 axis-regulated EMT. Abstract Although the newly developed second-generation anti-androgen drug enzalutamide can repress prostate cancer progression significantly, it only extends the survival of prostate cancer patients by 4-6 months mainly due to the occurrence of enzalutamide resistance. Most of the previous studies on AR antagonist resistance have been focused on AR signaling. Therefore, the non-AR pathways on enzalutamide resistance remain largely unknown. By using C4-2, CWR22Rv1 and LNCa P cell lines, as well as mice bearing CWR22Rv1 xenografts treated with either enzalutamide or metformin alone or in combination, we demonstrated that metformin is capable of reversing enzalutamide resistance and restores sensitivity of CWR22Rv1 xenografts to enzalutamide. Metformin controls the insulin resistance of people who have type 2 diabetes so well that, if possible, all of us should be taking it. D., told me at the annual convention of the American Society of Bariatric Physicians in Denver this weekend. Crist specializes in family medicine in Cape Girardeau, Missouri. “Not everybody can take every drug,” he added, when I followed up our conversation by calling him at his office after he returned home. Well over half, if not two-thirds of the people he sees are insulin resistant. “But most of the time people can take metformin if they take it carefully.” Doctors increasingly prescribe it not only for type 2 diabetes but also for insulin resistance, polycystic ovary syndrome, and non-alcoholic fatty liver disease. “I treat insulin resistance with that drug even if they aren’t fully diabetic.” he says. “If they have high triglyceride levels and low HDL levels, particularly if they are centrally obese, they should probably be on metformin. It helps slow the progression of the disease from one thing to the next.” But he goes further. He prescribes metformin to almost all of his patients who have type 2 diabetes — no matter how low their A1C level is. And he tells his patients that their levels should be 5.0 or less — not the American Diabetes Association’s less stringent recommendation of 7.0 or less.

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    Metformin in PCOS. Metformin was the first insulin sensitising drug ISD to be used in PCOS to investigate the role of insulin resistance in the pathogenesis of the syndrome Velazquez et al. 1994. I started taking Metformin a few months ago for the PCOS and insulin resistance to try to regulate my very irregular cycles. The first 10 weeks on Metformin were absolutely horrible with side effects, but now the side effects are much more tolerable just some food aversion and mild nausea and mild exhaustion from time to time. Metformin is thought to reduce insulin resistance, but it´s main effect is to inhibit mobilisation of liver glycogen. So don´t expect too much. The best way to reduce insulin levels is to eat very low carb and get lots of exercise.

    Metformin is an insulin-sensitizing drug primarily used to treat diabetes, but it can also be used for fertility. Women with PCOS may benefit from taking metformin alone, along with Clomid, or even during IVF treatment. Exactly how metformin improves fertility is unclear. While metformin may be used for the treatment of infertility, it is not a fertility drug. In fact, using it to treat infertility is considered an off-label use. (In other words, pregnancy achievement is not the original intended purpose of this drug.) What is this medication? To understand what metformin does, you first need to know what insulin resistance is. Insulin resistance is when the body's cells stop reacting to normal levels of insulin. As a result, the body thinks that there is not enough insulin in the system. This triggers the production of more insulin than your body needs. The UK Prospective Diabetes Study, a large clinical trial performed in 1980-90s, provided evidence that metformin reduced the rate of adverse cardiovascular outcomes in overweight patients with type 2 diabetes relative to other antihyperglycemic agents. Treatment guidelines for major professional associations including the European Association for the Study of Diabetes, the European Society for Cardiology and the American Diabetes Association, now describe evidence for the cardiovascular benefits of metformin as equivocal. In 2017, the American College of Physicians's guidelines were updated to recognize metformin as the first-line treatment for type-2 diabetes. For example, a 2014 review found tentative evidence that people treated with sulfonylureas had a higher risk of severe low blood sugar events (RR 5.64), though their risk of non-fatal cardiovascular events was lower than the risk of those treated with metformin (RR 0.67). There was not enough data available at that time to determine the relative risk of death or of death from heart disease. study known as the Diabetes Prevention Program, participants were divided into groups and given either placebo, metformin, or lifestyle intervention and followed for an average of three years. Metformin treatment of people at a prediabetes stage of risk for type 2 diabetes may decrease their chances of developing the disease, although intensive physical exercise and dieting work significantly better for this purpose. The intensive program of lifestyle modifications included a 16-lesson training on dieting and exercise followed by monthly individualized sessions with the goals of decreasing weight by 7% and engaging in physical activity for at least 150 minutes per week. The incidence of diabetes was 58% lower in the lifestyle group and 31% lower in individuals given metformin. Among younger people with a higher body mass index, lifestyle modification was no more effective than metformin, and for older individuals with a lower body mass index, metformin was no better than placebo in preventing diabetes.

    Metformin resistance

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  3. Metformin is an insulin-sensitizing drug primarily used to treat diabetes, but it can also be used for fertility. Women with PCOS may benefit from taking metformin alone, along with Clomid, or even during IVF treatment.

    • Metformin for PCOS and Getting Pregnant - Verywell Family.
    • Insulin Resistance, Metformin, and Side Effects..
    • A Comprehensive Guide To Metformin -.

    Metformin controls the insulin resistance of people who have type 2 diabetes so well that, if possible, all of us should be taking it. That’s what Roderic Crist, M. D. told me at the annual convention of the American Society of Bariatric Physicians in Denver this weekend. Dr. Crist specializes in. Metformin brand name Glucophage, Glumetza is a medication used primarily for diabetes. It is an oral hypoglycemic medication. It lowers blood sugar levels in type 2 diabetics by facilitating the entrance of glucose in the tissues and reducing the amount made by the liver. Mar 11, 2018. Join Dr. Berg's Keto & IF Lab Take Dr. Berg's Free Keto Mini-Course or go here.

     
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