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PCOS and metformin

I have a history of PCOS. I was continuously gaining weight so my endocrinologist suggested metformin but the medicine made me nauseous all the time so i discontinued it. But after leaving the meds i am again gaining weight. I didn't want to rely on medicines all the time but keeping weight in check is becoming an issue. I feel very lethargic and have mood swings. Have a history of hypothyroid but my doctor took me off thyroxine as TSH levels were really low (4years ago; immediately after which i gained weight and kept gaining, complicated by PCOS). Should i start with metformin or do i need to get other tests done. Can it be related anyway to thyroid (Latest TSH levels are normal). Is there an alternative treatment available.
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Doctor Answers (2) on PCOS and metformin

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Dr. Swapna Reddy Chennai | Diabetologist
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Try with mild dose metformin(250mg). follow low fat, low carbohydrate, high fibre ,no direct added sugars diet. regular 1-2 hours exercise.
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Dr. Chethan R S Bangalore | General Physician
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Hello there....., Consider dietary changes. Low-fat, high-carbohydrate diets may increase insulin levels, so you may want to consider a low-carbohydrate diet .. Don't severely restrict carbohydrates; instead, choose complex carbohydrates, which are high in fiber. The more fiber in a food, the more slowly it's digested and the more slowly your blood sugar levels rise.....
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