1. Prolactin

2. Cortisol AM

3. TSH

4. Anti-TPO antibodies and anti-thyroglobulins

5. Iron

6. Complete hematology

7. Dehydroepiandrostenedione/androstenedione/free and totally normal testosterone does not rule out androgenic hyperactivity, which is why it has educational or confirmatory value in cases of hyperandrogenism, but it should not be ruled out in patients with hirsutism and acne whose results are within the normal range.

If all of the above have been evaluated and you have been trying to get pregnant without success, look for…

8. Anti-phospholipid antibodies

9. Antinuclear antibodies

10. NK Cells

11. Anti-sperm antibodies

12. Anti-ovary antibodies

13. Salpingography

14. Spermiogram

Abdominal fat?

Speed up the result by taking VELTRYX.

Metformin is not for slimming.

“Metformin inhibits excessive sugar production by the liver during fasting, which incidentally produces a fat belly or increases fat around the waist (which means that the liver is producing an excess of glucose).”

DR. LUDWIG JOHNSON.

Well now…

Metformin.

That’s the drug.

Glucofage, Dabex, Glafornil or Glucofage and XR.
Three options and six possible responses…

1. Those who say: “These tablets don’t work for me.”

2. Those who say: “These tablets make me sick.”

3. Those who ask: “Do these tablets have any side effects?”

4. Those who say: “A doctor told me I shouldn’t take these tablets.”

5. Those who ask: “And can people who have Diabetes take these tablets?”

6. And those who say: “For how long do I have to take these tablets?

Let’s start with “Those tablets don’t work for me.”

I guess they must have a bit of fat around the waist and, on consulting the doctor about being overweight, were diagnosed as being insulin-resistant.

They were told that the tablet would help them lose weight.

But they didn’t lose weight.

Or maybe they were told that it would eliminate their anxiety about food but it didn’t work out that way.

Or women were promised that the cysts would disappear from their ovaries, or that their hair would cease to be greasy, or that their periods would be less irregular, but none of that happened.

All right; here are some possible reasons why the tablets did not work for them.

They were either taking them tablets correctly but continued eating ¨carbo-drugs¨ after 10am, or they never took them correctly (at the right times and with the right doses).

Let’s start by saying that the average dose which gives the best results in 90% of patients is 2 grams per day.

We are talking about adult patients, not children.

However, there is a group that gets a response to a dose of 2 shots of 500 mg per day.

However…

Many doctors are wary of prescribing this drug (even below the levels mentioned above) because patients often do not tolerate it (it produces nausea, heartburn, fatigue, diarrhea or headache in 30% of cases) and, obviously, the lower the quantity, the less chance there is that it will have a negative effect. But at the same time, it is more likely that the treatment will be less effective or fail to produce the desired results.

Secondly, many patients take their tablets only in the morning, and forget to take them at dinner, which is the best time to take them in order to lose weight (because at night there is an increase in gluconeogenesis, which is converted into fat by the liver; this occurs at night and in the early morning hours when the patient cannot eat food because he/she is asleep). This is particularly noticeable in patients with high levels of sugar.

In these cases, it must be said that this is often the fault of the doctors who prescribe the treatment.

“Take Metformin in the morning because this is when your sugar level is highest,” supposedly is the reasoning. But this ignores the fact that it is during the night when the liver produces an excess of sugar (let me say it again: this is due to increased nocturnal gluconeogenesis).

In these cases, I would say that it is imperative to take up to 2 grams of Metformin at dinner, and certainly NOT prolong the gap between doses. So much for the first type.

Second Type

The tablets make you sick. Try another brand. Start by taking a quarter of 500mg with dinner. And increase it to a half and then with each meal increase it every other day until you reach 500mg with breakfast and lunch, and 1000mg with dinner. There is tolerance when it is increased gradually. However, the advisable thing, when it makes you really sick, is to suspend it and try any of the other brands on the market. 20% of the population don’t tolerate one particular brand but are able to take another without any problem.

Why is that?
It doesn’t matter why. Just stop taking them, period. And try another brand (10% of the population can’t take any of them, in which case you shouldn’t insist. Your doctor will prescribe other options (herbal ones). One more detail: nowadays we have Metformin with Extended Release (Glucofage XR, Dabex XR). It’s no better than the rest though it’s easier to tolerate. Sometimes, however, it’s precisely the one that is not tolerated. But I must emphasize that it is not better because it’s no more effective than the others. It is only slow release. And that reduces its impact among a fairly large group that do not absorb it completely. And in another group it is not even partially absorbed. Many see it floating in the toilet next to the feces. They don’t absorb it. It is not released. If you have it, use it. But make sure that it absorbs. If it does, it will be just as effective as the other options. Otherwise, cut it up  so that it loses its capsule form and try taking it like that. And stop saying that taking a xr of 500mg is worth three of the other kind. Nooooo!!. Many pharmacists have fallen into this trap. And they get confused. No. The dose prescribed by the doctor is the same for both xr and others.

Third Type

Their side effects?

Many.

Mostly gastrointestinal.

Suspend them and start taking them again, but in smaller doses, when you feel better. Change the brand. Try them all. But don’t insist if you can’t tolerate them.

Now, perhaps the real question is whether or not the tablets have anyeffects that may harm you in the long run. You will probably want to know if taking them makes you more likely to develop diabetes.

It’s unlikely.

Quite the opposite.

By taking them you are a great deal less likely to get diabetes.

The tablet protects you. It protects your pancreas. The tablet will save your pancreas. Without the tablet, your pancreas has to make more insulin. And eventually it runs out. This question is answered when the patient has diabetic relatives who take it.

Another common consideration is whether the tablet damages the kidneys.

Also unlikely.

It actually protects the kidneys.

Insulin resistance, and even more so, diabetes, eventually affect kidney function. This is why Metformin protects your kidneys. Because it decreases insulin resistance.

However, Metformin is contraindicated when you have high Creatinine. It should not be taken if you have moderate or severe kidney failure. And Creatinine is the marker of kidney function. Metformin is eliminated by the kidneys and, like aspirin and other anti-inflammatory painkillers, it should not be taken either if renal elimination is significantly reduced (it can be with mild kidney failure). But it does not harm the kidneys. It protects them. It’s good for the kidneys. But it should not be taken if your kidneys are damaged. The same goes for aerobics and legs. Aerobics is good for the legs. Aerobics is not bad for the legs. It’s good. But we don’t do aerobics with broken legs. End of the third type.

Fourth Type

A first doctor told you to take the tablets while a second doctor told you exactly the opposite. A very common scene.

First of all, before ’86 no one was taking those tablets.

Clearly, you can skip them and “go it alone.”

But the cost will be higher for you. More exercise. More self-control. More willpower. More diet.

More. Get it?

So you’ve put on more weight again. You’ve stagnated. What if you stray just a little from the diet? You know what I’m talking about.

Instead, with the tablets, you go on a round trip to Europe, all expenses paid. And you come back looking exactly the same. It’s a miracle! How do the tablets manage to do it? Because you are resistant to insulin and the tablets help you.

But did a doctor tell you that you shouldn’t take them, eh?

Yes.

It’s true.

19 out of 20 doctors are not familiar with the subject.

Therefore, you should look for one who is an expert.

10% of the glucose tolerance tests of those with insulin resistance are falsely negative (they look fine).

Therefore, this is a clinical diagnosis (based on what they tell you and what the doctor discovers about the patient). It’s not always exactly what the laboratory tells you.

It’s like everything in medicine: tests are supportive, but they do not make the diagnosis. The End.

Fifth Type

So Metformin is not for diabetics??

Yes, it is. It is for diabetics.

And it’s also for those who are overweight and/or have metabolic syndrome and/or insulin resistance syndrome.

Diabetes is Sunday. Saturday is pre-diabetes. And Monday through Friday is insulin resistance.

On average, if you ask me, each day is like 10 years or 10 kilos. If you get fat or grow old, this condition gets worse. And if you lose weight, it improves.

Metformin is to diabetes what that device in the ear is to the deaf.

It is used by those who can no longer hear the television (the deaf), but also by those who hear it with the volume turned up (the insulin resistant). They are those who in the future, if they continue like this, would burn the speakers. Because they are resistant to volume. And when they use the “deaf” device, they tune their ear to the television. Because they no longer need so much volume to listen.

Right?

Metformin sensitizes muscles to insulin in the same way that the “deaf” apparatus sensitizes the ear to the volume of the television. And now they respond with less volume. And it doesn’t burn their speakers.

You have one more comment.

One more question on this point.

If you are taking Metformin, and you have good sugar, won’t it go down?

You’re asking that because you know that those with high sugar take it.

But you don’t have high sugar.

Well.

Good question.

But no. The answer is no. Because Metformin doesn’t lower your sugar.

Metformin stops it going up.

Get it?

Metformin doesn’t lower your sugar. It just stops it going up. It prevents it from going up. And in your case (as you don’t have high sugar), it will avoid the need for so much insulin to keep it at a normal level.

So the answer is no.

Metformin won’t lower your sugar. (Check your thyroid if this happens).

Sixth Type

Does Metformin have to be taken forever?

The answer, if you are not diabetic, is… No.

If you lose weight and join the national Athletics team.

Or if you lose weight and live with low carbohydrates in your diet.

Or if you lose weight and make a mixture of these two.

Otherwise, and with medical supervision, the answer is yes. Yes, it’s forever.

Because insulin resistance cannot be cured.

Because it’s not a disease.

Just like you can’t cure being white.

Because white skin is not a disease. If a white man goes to the beach and is exposed to the sun, afterwards he has to go and see a dermatologist.

You consult about sunstroke and they tell you to use sunscreen daily (Metformin) and they tell you to keep out of the sun for three months (no carbodrugs). By the fourth month, the patient is cured. His rash has gone. He has no sores. His sunstroke has disappeared.

Can you suspend the sunscreen?

It depends.

Not if you’re exposed to the sun again.

But if you no longer have sunstroke?

Why can’t you stop the treatment if you’re already cured?

From sunstroke, yes.

But not from being white.

Because there is no cure for being white.

White is the metabolic color of your skin.

And white skin that suspends sunscreen gets sunstroke… when it goes back to its old habit of exposing itself to the sun.

Get quick results!! Take VELTRYX and burn abdominal fat!

Eliminate carbohydrates + metformin (or an insulin sensitizer as contained in the natural formula of VELTRYX).

It is the recipe for pregnancy for those who have PCOS or not, but with infertility and fat around the waist. (1)(2)

To get pregnant with PCOS, hypothyroidism must be ruled out.

The test to rule out hypothyroidism lies with the doctor, not the test.

Hypothyroidism exists in a large percentage of PCOS patients and must be treated in conjunction with it.

Patients with hypothyroidism may show no alteration in their blood tests (see the section on HYPOTHYROIDISM on this website).

Patients with hypothyroidism, but without abnormalities in blood tests, frequently have slightly elevated or near the upper limit AM cortisol and prolactin, while serum hemoglobin or iron is low or near the lower limit (iron deficiency anemia).

Patients with infertility due to PCOS frequently have Hyperprolactinemia (elevated prolactin).

Hypothyroidism may be suspected when there is a history of ELEVATED PROLACTIN and/or secretion of milk from the breast without lactation (Galactorrhea).

Hyperprolactinemia should be treated according to its etiology.

With results greater than 70, microadenoma should be suspected.

With results greater than 150, macroadenoma should be suspected.

For values close to normal, hypothyroidism or idiopathic or drug-related hyperprolactinemia should be suspected.

Polycystic Ovarian Syndrome or PCOS has various clinical presentations.

Infertility may be the only manifestation despite the absence of clinical hyperandrogenism criteria or menstrual alterations proposed by medical academies.

The Polycystic Ovary is one more manifestation that may or may not be present in PCOS.

PCOS must be treated to preserve fertility.

To get quick results, both treatments should be used.

Many women with PCOS are obese.

In these cases, oral contraceptives (ACO) should be avoided.

Many women with PCOS are thin.

In these cases, Metformin should be avoided.

When the woman with PCOS is obese, but has cysts on the ovaries, she should use the OAC (provided there is no contraindication and for a period of no more than 4 months) WHILE LOSING WEIGHT (METFORMIN, VELTRYX …).

After 4 months, the OAC should be suspended and the patient will continue to LIVING PRIMAL only with the insulin sensitized version.

When a woman with PCOS is thin and trying to get pregnant, she will be able to use Metformin despite the weight loss it may cause.

You will lose weight in exchange for a baby.

When the reason for consultation in those with PCOS is infertility, the use of an insulin sensitizer is imperative (METFORMIN, VELTRYX) with or without an altered tolerance curve.

When the patient becomes pregnant taking Metformin, she should continue the medication together with VIDA PRIMAL during pregnancy.

Suspernding VIDA PRIMAL or Metformin during pregnancy could lead to pregnancy loss.

When the loss occurs, hypothyroidism should be ruled out, in addition to the 2 previous scenarios.

When the reason for consultation in the adolescent is the presence of body hairs (hirsutism), late adrenal hyperplasia must be ruled out with the 17OH Progesterone blood test.

When the reason for consultation is hirsutism, the solution is laser hair removal.

Antiandrogens, despite being a therapeutic give, offer very poor results and then only after the ninth month of continuous treatment.

When the reason for consultation is acne or oily hair, eliminating carbohydrates from the diet may be enough to see an improvement.

When the reason for consultation is acne or oily hair, Metformin, antiandrogens (Flutamide or Spironolactone) and OAC, together with the change in diet, will disappear or correct it.

Once the ACOs or Antiandrogens are suspended, acne or oily hair will return, unless the patient maintains the change in diet.

When dietary changes are made and any of the 3 pharmacological options are also taken, the goal will be achieved much faster.

PCOS cannot be cured because it is not a disease, but a consequence.

PCOS is not cured by cutting out carbohydrates. PCOS will disappear through the elimination of carbohydrates.

And it will disappear more quickly, by taking an insulin sensitizer.

Eliminating carbohydrates is the only solution to regulating menstruation without progestins or without contraceptives that make you fat.

If the woman with PCOS is infertile and wishes to become pregnant, she should only consume animals, plants and eggs, without fruit or seeds, from days 9 to 17 of the menstrual cycle.

During the remaining days she can eat fruit and/or tubers until 10:00 am.

Then she will avoid these carbohydrates again.

She should have relations from day 10 and inter-daily on 4 occasions (days 10, 12, 14 and 16).

In less than 3 months, 80% of the women in these cases will become pregnant.

If she is in the other 20%, it will be in less than 6 months.

But if there is no pregnancy at 6 months, the therapeutic test with levothyroxine sodium should be performed, depending on the presence or absence of clinical criteria for doing so (see CHRONIC FATIGUE).

In addition, Natural Killer Cells, Anti-Sperm Antibodies, Anti-Ovary Antibodies, Anti- Phosofolipid Antibodies and Anti-Nuclear Antibodies should be requested, together with Salpingography (to rule out tubal obstruction). Endometriosis should also be considered and a spermatogram requested so that adjustments may be made as appropriate.

“Lose weight and accelerate your results, take VELTRYX.”

DR. LUDWIG JOHNSON