Prescription · metformin
Metformin
Metformin · Metformin ER
Mechanism
Reduces hepatic glucose production and improves insulin sensitivity.
Environmental footprint
GI symptoms (nausea, diarrhea) often resolve. Rare lactic acidosis in kidney impairment. Generally protective cardiovascular profile.
What the evidence shows
First-line Type 2 diabetes treatment with decades of safety data. GI side effects common initially. B12 deficiency with long-term use documented.
Systems affected
Biome maps medication footprints; it does not recommend starting, stopping, or changing any prescription. Always consult your prescriber or pharmacist.