Licensed providers. In-home visits in Brooklyn, NY, and Las Vegas and North Las Vegas, NV.
(718) 218-4791info@briyahealth.comA low-cost pill that can help some people lose a modest amount of weight, prescribed and monitored at home by a New York-licensed provider in Brooklyn.
Metformin is a pill that has been used for type 2 diabetes for decades. It lowers how much sugar your liver releases and helps your body use insulin. Using it for weight loss is an off-label use.
Adults with insulin resistance, prediabetes or polycystic ovary syndrome (PCOS) who want help with weight. It is not right for people with serious kidney or liver disease or heavy alcohol use.
Your provider checks your kidney function and history, then starts a low dose taken with meals. Weight loss with metformin is usually modest, a few pounds on average, so it works best as one part of a bigger plan.
Your plan is built and monitored by a licensed provider, not a general wellness coach.
Your plan is built around your health history and goals, not a one-size-fits-all protocol.
Every visit happens where you are, on a schedule that fits your life.
Your provider asks about your weight, blood sugar history, alcohol use and kidney or liver problems, and reviews your other medicines.
Blood is drawn to check kidney function, A1c and B12. Metformin is not safe if your kidneys are working too poorly.
Metformin usually starts at a low dose with your evening meal. An extended-release form can be gentler on the stomach.
The dose rises slowly over weeks. Your provider checks how you feel, tracks your weight and rechecks labs, including B12 over the long term.
Upset stomach, gas, loose stools and a metallic taste are common at the start. Taking it with food and raising the dose slowly helps most people.
This rare but serious problem is more likely with kidney disease, heavy drinking, severe illness or dehydration. Stop and call for help if you have unusual muscle pain, trouble breathing, stomach pain with vomiting or unusual sleepiness.
Tell any imaging center that you take metformin. You may need to pause it around scans that use iodine contrast dye or before some surgeries.
In the large Diabetes Prevention Program study, metformin lowered the chance of developing type 2 diabetes in adults with prediabetes. If your labs show prediabetes, your provider can talk about whether metformin, lifestyle changes or both fit you.
New York requires prescriptions to be sent electronically, and metformin is widely stocked by Brooklyn pharmacies. Generic metformin is usually inexpensive even without insurance.
Blood for kidney function, A1c and B12 can be drawn during your home visit and sent to a lab with a New York State permit.
Usually a small amount. In a large diabetes prevention study, people on metformin lost about 2% of their body weight on average and kept much of it off. It is not as strong as GLP-1 medicines.
Stomach upset, gas and diarrhea are common at first. Taking it with food and raising the dose slowly helps. Over years, metformin can lower vitamin B12, so your provider may check it.
For most people with healthy kidneys, yes. A rare but serious problem called lactic acidosis is more likely with kidney disease, heavy drinking or some imaging dyes, which is why your provider screens for these first.
Briya Health is a cash-pay practice. You are told the price before you book, with no surprise fees. We accept cash, Zelle, all major credit and debit cards, and HSA and FSA cards.
Briya Health providers come to your home anywhere in Brooklyn, including Fort Greene, Sunset Park, Borough Park and East New York. Enter your address when you book to confirm the visit.
One of our New York-licensed providers: Yaakov D. Kotlarsky, PA-C, Madeleine Navar, PA-C, or Jonathan Navar, MD. You can see their license details on the Providers page.
It can be a reasonable lower-cost option, but expect smaller results, often around 2% of body weight. Your provider will be honest about what metformin can and cannot do for you.