This week I had an appointment with my endocrinologist to check up on my progress.

My doctor said that even though I have already lost a lot of weight, she does not want me to go off the Metformin yet. As you know from one of my previous posts, this was a worry of mine – I wasn’t sure what I’d rather do. She said she wants me to get to under 80 kg first and wanted the Metformin to give me an extra push during the Christmas season. Let’s be honest, it’s a time of the year many people gain weight, and even though I have no intention of doing that, it is nice to know that I will not be on my own, off the Metformin and facing all the temptations of the Christmas season as well as the challenge of losing weight without the Metformin.

She was very happy with the amount of weight I have lost already, even asking me whether I have been sticking to my dose of 1000mg a day. I suppose many people struggle more with the weight loss than I do, even though they’re on Metformin, but for me, Metformin is precisely why I am not doing this half-assed. Plus I had lost weight before, and even though I was never able to keep it off, I knew how it worked already, I knew about exercise and healthy eating. It was just about being strong enough to make it a habit again.

She also asked about my PCOS, whether my cycle is normal again but as I have been back on birth control since May, I have no way of knowing and I won’t know as long as I am on birth control – a little frustrating. I may ask her whether it makes sense to go off birth control again in a few months to see if I am doing any better. Though I am really not looking forward to my body going completely haywire again if it hasn’t. What a mess!

So I am going to be taking Metformin for another three months, and then go off the Metformin and keep up my healthy diet and keep off the weight I lost. She wants me to make another appointment for six months after I stop taking the Metformin to repeat the glucose tolerance test and do a full screening of my thyroid again, including ultrasound. That means I will not actually know whether I have kicked the insulin resistance until then, but I am okay with that, being that if I do lose the weight and do keep it off, it is very likely that I have.

They also did some blood tests again. Apparently thyroid levels and weight are very closely linked, and as I have lost a lot of weight in a short amount of time, there was a possibility that my thyroid was not able to adjust as quickly. They are checked my kidney function as the Metformin can negatively impact it. Today, my endocrinologist emailed me and told me that everything looks great.

All in all, it went really well. For the next three months, not much is going to change. I will keep taking the Metformin and doing what I’m doing. I want to make the most of the next three months and then continue to lose weight until I reach my goal weight.