← Weight Management
Best ValueNot a controlled substanceFDA-approved product
Metformin ER
First-line insulin sensitiser
Extended-release metformin remains the best-evidenced, lowest-cost starting point for insulin resistance and prediabetes, and pairs well with a GLP-1 or stands alone.
Regulatory status
FDA-approved generic drug product.
Frequency
Daily oral
Route
Oral
Supply
90-day supply
Minimum age
18+
What it does
What patients get from this
- Decades of safety data
- Improves insulin sensitivity and fasting glucose
- Inexpensive and widely covered
- Combines safely with GLP-1 therapy
We will not prescribe this if
- eGFR below 30 mL/min/1.73m²
- Acute or chronic metabolic acidosis
- Severe hepatic impairment
The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.
Labs your NP may order
- CMP
- HbA1c
- Vitamin B12
Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.