Other medications including the sulfonylureas more commonly cause weight gain than does metformin. In fact metformin is often used in polycystic ovarian disease a condition of women where the ovaries develop numerous cysts and anovulation. Polycystic ovarian disease is often associated with obesity and the use of metformin is indicated to improve fertility as well as reduce other problems related with polycystic ovarian disease.
Overall metformin weight gain is generally not considered to be one of the metformin side effects faced by patients.
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