Dr. Joseph Mercola - Take Control of Your Health

Metformin Could Lessen Some of the Benefits People Get from Exercise

Dec 29, 2025
Discover how metformin, a common diabetes medication, might dampen the positive effects of exercise. A recent trial showed diminished fitness gains among users. Long-term use of metformin can lead to vitamin B12 deficiency and other risks. Uncover lifestyle factors that disrupt glucose regulation and learn the importance of consistent movement and a nutrient-rich diet. Alternatives like berberine are also discussed. Understanding prevention strategies could outshine medication for diabetes management!
Ask episode
AI Snips
Chapters
Transcript
Episode notes
INSIGHT

Metformin Can Dull Exercise Gains

  • A 16-week Rutgers trial found metformin blunted exercise gains like aerobic fitness and reduced fasting glucose improvements.
  • Metformin reduced training benefits even though some vascular function still improved with exercise.
INSIGHT

How Metformin Lowers Blood Sugar

  • Metformin lowers blood sugar mainly by reducing liver glucose output and improving insulin sensitivity.
  • It is first-line for type 2 diabetes and used off-label for several metabolic conditions.
ADVICE

Monitor B12 And Know Metformin Risks

  • Monitor B12 if you've used metformin long-term and supplement 1,000–2,000 mcg orally or use injections for severe deficiency.
  • Be aware rare lactic acidosis risk and pause metformin during severe illness or kidney/liver issues.
Get the Snipd Podcast app to discover more snips from this episode
Get the app