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Finding adverse
Metformin caused significantly more diarrhea and headaches compared to placebo, with 6 dropouts in the metformin arm due to medication side effects versus none in placebo, though metformin users had fewer bladder infections and musculoskeletal complaints.
Effect size6 MET dropouts for medication side effects vs 0 PBO
Follow-up6 months
ComparatorPlacebo + identical lifestyle therapy
Effect summaryadverse; 6 MET dropouts for medication side effects vs 0 PBO
Adverse eventsdiarrhea more common, headaches more common, 6 dropouts due to medication side effects

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Source

PMC3073705
The Effects of Metformin with Lifestyle Therapy in Polycystic Ovary Syndrome: A Randomized Double Blind Study
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