Our expert says:
In my opinion patients with hyperinsulinemia one could use either Metformin or Inofolic and one is not more superior to the other. However I would recommend that once you do conceive you should continue with Metformin as there are no studies being done with the use of Inofolic in pregnancy and its safety profile. The normal recommended dose for Metformin is 500mg twice a day. There are several studies that have shown that the continuation of Metformin in patients with hyperinsulinemia decreases the risk of miscarriages in the early stages of pregnancy. Progesterone is not normally tested unless you have a history of early pregnancy losses.
Answered by: Dr Y.M. Dasoo
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