Dave Murphy is there an advantage to ER metformin over regular
the advantage is usually there's a couple of things
the vast majority of people as in 95 don't need it
and I would tell you you know the regular metformin
they almost give away with zero copay actually three or four bucks they give
it away it's very very cheap pharmacies give it away to help people
decide to come to their pharmacy to advertise their other drugs
but on the other hand metformin is also notorious for being one of the most
expensive drugs in the pharmacy world why is that
well because of this ER thing some of the ER
preparations they have figured out a way to make it
extremely expensive and for guys like me that have managed
pharmacy spend for you know large companies like Toyota
that's one of the areas where you have to go in
and just make sure that you're not getting taken to the cleaners
the pharmacy world used to be what many of us
you know called one of those local drug markets this is usually
10 bucks but for you my friend 500 you know that sort of thing
pharmacy is rife with a lot of that kind of
inappropriate stuff and it's not so bad as it used to be but it's still
a significant problem and these ER
metformin preparations are one of the places where that happens
as I mentioned the people that do need them are usually have one of two
problems one there it's dawn effect and they get a little
bit better coverage in that morning and number two it's some
of them get fewer GI problems with it most folks
don't have GI problems at all with metformin but some do
the other thing I would say is that most people that get really focused on this
dawn effect I'm very skeptical that they're actually
having a real problem it's just more that they're focused on it as you
saw from BJJ's note earlier the number he or she is getting is like
90 to 105 and really 90 to 105
is not likely to be a dangerous level it's not gonna
you know it's clearly not dangerous like you know two hours post prandial at
180 or 200 250 or even 160. so
again you have to think of a lot of things in terms of managing this
James Kantor less stomach upset metformin ER
otherwise the endocrinologist says that same overall effect
but does not lower sugar as fast after a meal
is normal aging really normal that's the point that's why I keep putting it in
quotation marks thank you for responding that if it can be
addressed and or treated or slowed down that's the whole point that's exactly
you know what i'm doing for a living as a retiree maybe someone should point
that out to the to the NIH I
wouldn't that be nice
why wait for a disease and hope for a cure I used to be an ER
doc my name is Ford Brewer I quit ER after a few years because it
was just so frustrating most of the things
bringing people into the ER are things that should have been
prevented including heart attack stroke number one cause of death number
one cause of permanent disability people think that you're just gonna have
those and that they're not predictable both of those are wrong they are
predictable and you don't have to have them usually
it's lifestyle lifestyle's more important than
supplements and even prescription drugs and even
stents and surgery but the current times are tough
major financial impact with the lockdowns that most states have been
going through we've been working on a way to make this
much more affordable with a subscription process
and that's exactly what we're announcing today we've got two levels
one is the Silver membership where you get access to our courses
a private webinar each month and access to our supplement store
and supplement recommendations and prescription or
I would suggest even more so the Gold membership
you can get a script for a Freestyle Libre and find out what your blood sugar
metabolism is doing on a daily basis and you can get a lab order for
inflammation OGTT and insulin survey you can also get a 30-minute one-on-one
with me so I'm looking forward to seeing you
cost is no longer an excuse so if you're interested go to
care.prevmedhealth.com/Membership or call us at 859-721-1414
859-721-1414 or email us at
myhealth@prevmedheartrisk.com looking forward to seeing you
thank you