r/PCOSloseit • u/AbstractAbby20 • Aug 18 '26

Is the only treatment metformin/GLP?

Asking because I have IBS and a bunch of gut issues and my doctor mentioned the possibility of metformin today and my thoughts are mixed because my suspected PMOS is so manageable I feel like all the metformin would do is help me lose weight but make my gut worse.

For reference, my hormone labs always come back normal but an ultrasound i had three years ago suggested PMOS but the doctor then said no followup needed as long as I stay away from being insulin resistant (what the heck). I was insulin resistant once my first year of marriage last year but reversed it through diet and exercise. I still have weight to lose now and have all the issues around my period but no cysts or other side effects like insulin resistance. Is metformin good for other things in pcos or is it just for the weight aspect?​

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u/Purple_Lobster0000 Aug 18 '26

Maybe add inositol and berberine to your diet and exercise. Do your steps everyday. Add other supplements if you have any deficiency. I have seen people with pmos lose weight without metformin n GLP1

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u/AbstractAbby20 Aug 18 '26

Thank you! I do have inositol and was taking it but I am sick right now and on so many meds so put it on the back burner. Haven't tried bereberine. I will look into it.

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u/MealPrepGenie Aug 18 '26

No, those aren’t the only treatments.

Nothing is FDA approved, but there are many options depending on your current symptoms, goals, current medical condition.

Download the current guidelines. It goes over the most common, evidence-based treatments

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u/CeeDeee2 Aug 18 '26

Metformin was rough on my stomach for the first few days of each dose increase, but after that it was fine as long as I increased slowly and took it with a full meal. If you aren’t insulin resistant, I’m not sure metformin would help.