Dr. Thaïs Aliabadi

These medications since 2014 have changed their lives in my practice.

So I think there are some studies that say long-term berberine is not advised.

The problem with PCOS is it's not something, it doesn't have a cure.

You can't cure it.

It's an ongoing issue.

That's why you need to be on supplements that long-term you can stay on.

And, you know, like you mentioned, vitamin D, curcumin, chromium, and acetal.

There's so many things we can do to

Increase that insulin sensitivity, lower the inflammation in the body.

I don't usually give berberine long term, but it definitely short term, you can use it as pulse treatment for these patients.

It's very safe.

You know, even for my patients who are not PCOS, I recommend metformin, let's say perimenopausal women with hemoglobin A1Cs in the borderline range, you know, 5.7, you fall into the pre-diabetic range.

You know, I'm very lean.

I've never been overweight, you know, but I have a long family history of diabetes and

And my hemoglobin A1C was 5.6 a few years ago.

And I started taking metformin and now I'm at 4.8.

I start with like 500 at night just to see how they do.

Metformin does have side effects.

No, it's mostly like the nausea, and some people really get really bad diarrhea with it.

That's why I start them on the supplements.