He lost 20 pounds in 2 months on metformin. Here’s how. (2024)

When Terrance Truitt turned 32, he began reflecting on his life and career and felt proud of his milestones—he'd just graduated with a PhD, for example, and was a keynote speaker at a conference in the high school he'd attended. But that pride stopped when it came to looking in the mirror.

"I just didn't like the man I saw," he says. "I was succeeding in these other parts of my life, and it wasn't matching up with what I was looking at. I felt uncomfortable in my own skin, and as I gained weight, I was less interested in going out and doing more."

Although he'd struggled with weight throughout his life, Terrance noticed he began gaining even more weight a few years ago once he turned 30. He took action to see if he could reverse that progression. First, he tried over-the-counter weight loss products, then calorie restriction, fasting, and diet plans. But, although there was modest success initially with each method, he was disheartened when his weight loss hit a plateau—which then was followed by gaining it back.

Another factor in the effort was his health, he says. Diabetes and hypertension run in his family, but Terrance was hesitant to go to the doctor and get his blood sugar and blood pressure checked because he didn't want anyone—even his health provider—to know his true weight.

"I took the mindset that if I feel good and I don't know my numbers, then I don't have to do anything about them," he says. "But I did get to the point where I realized I needed to do something about my weight that was sustainable, both for my self-image and for my health overall." Getting personalized weight care

After doing some online research, Terrance discovered Found at the end of October 2023 and thought he'd give it a try based on positive reviews from people who'd tried it. The initial health screening that was done as part of Found's program revealed that Terrance was prediabetic and had elevated blood pressure—not enough to be classified as hypertensive, but headed in that direction.

"Right away, I appreciated how the program looks at your numbers and your health to make sure you're prescribed the right medication because it forced me to confront the truth," he says. "I didn’t have accountability in my previous efforts doing this on my own, so this was a first step toward being realistic with myself about where I was at and what I needed."

Because he was prediabetic, the recommended medication was metformin, which is often used in patients with type 2 diabetes as a way to control high blood sugar. Although metformin wasn't developed as a weight-loss drug, research has found that weight loss is a common effect of the medication along with blood glucose regulation.

Like Terrance, everyone who joins Found has access to a clinician trained in obesity medicine who can personalize a prescription and tailor treatment based on their medical history, weight history, and biology. Found-affiliated providers also use MetabolicPrintTM, a proprietary assessment that helps members and their providers understand what is preventing weight loss so providers can effectively help members reach their goals. There’s also an FDA “black box warning” on metformin as it carries a serious safety risk of lactic acidosis. Additionally, metformin may stimulate ovulation in those with PCOS or who are premenopausal, which may increase the risk of unintended pregnancy. Find detailed side effects and risk information on our dedicated metformin page.

Results: Terrance lost 20 pounds—and found a community he can count on

After starting metformin, Terrance experienced minimal side effects—some bloating early on, which resolved after a couple weeks—and after two months on the drug, he’s lost 20 pounds. (Of course, individual results may vary. And, each person should make medication decisions in consultation with a medical provider.) While Terrance had hoped for results like that, what he didn't expect was to forge such a strong connection with the Found community.

"Once I downloaded the Found app, that was a turning point because you have all these people who are cheering you on, and it feels like a safe space," he says. "I'm connected on social media, but I didn’t share my weight-loss journey because I didn't want to be judged. Not everyone can empathize with what you're doing. Sometimes, they even make snarky comments. But in the Found community, they have the same goals; they know what you're going through, you can joke and be encouraging, and we all win."

Terrance is so active in the community that if he doesn't post for a few days, other members check in on him. That's the kind of connection that makes him feel supported, he says.

Celebrating big wins

Terrance has plenty of non-scale victories as well. He's discovered that he has more energy, which helps him go to the gym more often, and he's comfortable going out with his wife and daughter, leading to more outings as a family. He's also realized through talking with his Found coach and community that he has a strong tendency to be an emotional eater and turns to food when he's stressed or needs comfort.

"Found helped me realize that about myself. Now I can use that information to take a moment whenever I'm about to mindlessly reach for food," he says. "I ask myself: Am I hungry, or am I about to eat because I'm stressed? That's made a big difference."

Even more, he doesn't avoid the mirror anymore. Not only can he fit into clothes that he hasn't worn for a year or more, but he also feels a renewed sense of confidence.

"That is the number one benefit," says Terrance. "I'm learning to love myself again through this journey. I don't have to hide myself anymore."

He lost 20 pounds in 2 months on metformin. Here’s how. (2024)

FAQs

Can you lose 20 lbs on metformin? ›

After starting metformin, Terrance experienced minimal side effects—some bloating early on, which resolved after a couple weeks—and after two months on the drug, he's lost 20 pounds. (Of course, individual results may vary. And, each person should make medication decisions in consultation with a medical provider.)

How quickly do you see weight loss with metformin? ›

Commonly, however, in trials with longer follow-up periods, weight loss generally starts after 4 weeks of treatment with metformin and occurs mainly during the first 6 to 12 months of continuing metformin therapy.

Can metformin cause rapid weight loss? ›

Many people with diabetes who are prescribed metformin lose around 2% to 3% of their body weight within the first year of starting the drug.

How much metformin should I take to lose weight? ›

In one study, people started by taking 500 milligrams daily and gradually increased to 2,500 milligrams. The average dose ended up being 2,230 milligrams per day. In another study, participants lost weight when they took 1,500 milligrams of metformin a day.

How can I speed up weight loss with metformin? ›

However, it's important to note that taking metformin without following other health-promoting habits, such as eating a diet rich in whole foods and staying physically active, may not lead to weight loss. Any weight loss you experience may only last as long as you take the medication.

Will I lose belly fat on metformin? ›

Metformin may also reduce weight by decreasing the amount of visceral fat in the liver and muscle tissue. Visceral fat is stored within the abdominal cavity, which contains several internal organs, including the liver, stomach, and intestines. It can also build up in muscles including the heart muscle.

How much can A1C drop in 3 months on metformin? ›

In addition to lowering blood glucose, metformin also lowers your hemoglobin A1C (HbA1C or A1C). Your A1C is a lab value that represents your average blood glucose levels over the past 2 to 3 months. Metformin can lower A1C by up to 1.5%.

What are the signs that metformin is working? ›

The signs that metformin may be working for you include:
  • lower blood sugar levels after eating, if you test at home.
  • lower HbA1c levels (which measure long-term control)
  • modest weight loss, or typically no weight gain (metformin should be used with a healthy diet and regular exercise)
Jul 31, 2023

Which is better, Ozempic or metformin? ›

While metformin is a more common first-choice medication for Type 2 diabetes, weight loss is more likely with Ozempic. Ozempic can also lower your risk of major cardiovascular events (heart attack, stroke, or cardiovascular death) if you have diabetes and heart disease.

Does metformin make you pee more? ›

After starting to take metformin, urination frequency has increased dramatically, every 1 and a half to two hours.

Why do doctors no longer recommend metformin? ›

However, the toll it takes on the digestive system may prevent many people with diabetes from taking it for more than a week or two. “Metformin commonly causes gastrointestinal symptoms such as diarrhea and flatulence,” explained a recent study published in the journal Diabetes, Obesity and Metabolism.

What is the bad news about metformin? ›

Under certain conditions, too much metformin can cause lactic acidosis. The symptoms of lactic acidosis are severe and quick to appear, and usually occur when other health problems not related to the medicine are present and are very severe, such as a heart attack or kidney failure.

How soon do you see weight loss with metformin? ›

In regards to weight loss, many studies report weight loss after six months on metformin. However these findings don't mean one won't lose a meaningful amount of weight prior to six months—the weight loss will vary from person to person. Health care providers prescribe metformin in different doses over time.

Can you eat bananas with metformin? ›

It's okay to eat fruits and vegetables with a higher sugar content in moderation (i.e., bananas and sweet potatoes) because natural sugars don't affect your blood sugar levels the same way as added sugars do.

What is the strongest weight loss prescription pill? ›

Key Takeaways. The new FDA-approved weight loss drug Zepbound (tirzepatide) may be the strongest weight loss drug available. Zepbound is a once-weekly injectable medicine. Qsymia may be a stronger weight loss pill than phentermine since Qsymia contains both phentermine & topiramate, which both cause decreased appetite.

Can you lose weight on 2000 mg of metformin? ›

There's no one set metformin dosage for weight loss in people without diabetes. But this study suggests up to 2,500mg of metformin can help those with overweight and obesity lose weight, whether they have insulin resistance — like those with type 2 diabetes — or not.

How much weight can I lose on metformin with PCOS? ›

Weight Loss in Polycystic Ovarian Syndrome (PCOS)

A 2016 meta-analysis found that the use of metformin by women with PCOS resulted in a 0.65% reduction in Body Mass Index (BMI). This works out to be about 2 pounds (1 kg) for a 5'4” (162 cm) woman (13). So it helps with PCOS, barely.

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