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For those taking metformin how strong of a dose is it and did it cause ill effects?

A myPCOSteam Member asked a question 💭
Brewerton, NY

My doctor put me on 1000mgs and I started taking it this morning and I have had horrible stomach cramps since. I didn't know if that's a normal dose

November 5, 2016
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Answer Summary

Members responded to a question about 1000mg metformin causing severe stomach cramps, confirming that this is a common starting or maintenance... Read more

Members responded to a question about 1000mg metformin causing severe stomach cramps, confirming that this is a common starting or maintenance dose, with many taking between 500mg and 2000mg daily, often split across meals. Several members shared practical strategies that helped reduce gastric side effects, including never taking it on an empty stomach, eating small frequent meals with protein and vegetables rather than simple carbs, starting with a lower dose and gradually increasing, switching to extended-release formulations, and taking it at night or right after dinner. A recurring theme was that the first few weeks are typically the hardest, but symptoms improve significantly once the body adjusts and dietary habits are modified.

A myPCOSteam Member

Try taking it right after you eat dinner. That is what my Dr advised me to do when I had issues and it helped soo much.

February 3, 2017
A myPCOSteam Member

You have to work up to it. When I started, I had a quarter dose for a couple of weeks, then a half dose, then a 3/4 dose, then the full dose but I got stomach cramps so they put me on the slow release ones and they're much better. Now I just take one a day.

January 16, 2017
A myPCOSteam Member

I had issues when I first took it so I was advised to take it at night. Also, see if they will try the slow release one. I'm on that now and it is much better!

November 21, 2016
A myPCOSteam Member

I took mine at night when I went to bed to avoid the tummy issues. Also when I started my doc had me slowly introduce it to my system. 500mg a day per week then 1000 the next etc

November 15, 2016
A myPCOSteam Member

I am on 500 right now, and my doctor is going to increase it up to 1000 eventually. It made me feel really sick, so I started to eat every 3-4 hours (small amnts) which helps with the nausea. If I tried to eat anything more than a small amount of carbs it made my stomach hurt too. Now my body is used to the dosage, so I don't have as many problems... well, I still do with carbs, but not too much other issues.

November 14, 2016

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