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Re: Re: Metformin

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On Tue, 23 Nov 2004 20:12:13 -0000, old542000 <apater@...> wrote:

>

>

> Hi All,

>

> For an update, here is a not pdf-available paper's abstract:

>

> Rom J Intern Med. 2003;41(3):269-75.

> Metformin in the treatment of obesity in subjects with normal glucose

> tolerance.

> Tankova T, Dakovska L, Kirilov G, Koev D.

>

And ya don't even have ta be obese ta git some bene's from metformin,

apparently:

Journal of Clinical Endocrinology & Metabolism, Vol 78, 549-554,

Copyright © 1994 by Endocrine Society

Effects of a reduction in circulating insulin by metformin on serum

dehydroepiandrosterone sulfate in nondiabetic men

JE Nestler, NA Beer, DJ Jakubowicz and RM Beer

Department of Internal Medicine, Medical College of Virginia/Virginia

Commonwealth University, Richmond 23298.

Evidence suggests that hyperinsulinemic insulin resistance may reduce

serum levels of the adrenal steroid dehydroepiandrosterone (DHEA)

sulfate in humans. This study was conducted to assess the influence of

physiological concentrations of insulin on serum adrenal steroid

levels by lowering circulating insulin in nondiabetic men through the

administration of the biguanide metformin. A total of 28 nondiabetic

men were studied. The study group consisted of 16 obese and

hypertensive men, and the control group of 12 nonobese and

normotensive men. The men were studied at baseline and after the oral

administration of 500 mg metformin, 3 times daily, for 21 days.

Metformin administration resulted in significant reductions in serum

insulin levels and concurrent increases in serum DHEA sulfate levels

in both groups of men. The mean fasting serum DHEA sulfate

concentration rose by 48% in the obese hypertensive men (from 5.9 +/-

0.8 to 8.7 +/- 0.7 mumol/L; P < 0.02) and by 80% in the nonobese

normotensive men (from 3.5 +/- 0.5 to 6.3 +/- 0.9 mumol/L; P < 0.05).

When the results from both groups were combined, changes in serum DHEA

sulfate levels (i.e. day 21 value minus day 0 value) correlated

positively with baseline fasting serum insulin levels (r = 0.44; P =

0.02; n = 28). Moreover, changes in fasting serum DHEA sulfate levels

correlated inversely with changes in fasting serum insulin levels (r =

-0.38; P < 0.05; n = 28). These findings lend further credence to the

idea that insulin acts as a physiological regulator of DHEA sulfate

metabolism and lowers circulating DHEA sulfate concentrations in men.

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