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 Nevada-licensed provider in Las Vegas.
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.
Dehydration raises the risk of kidney strain and, rarely, lactic acidosis. In Las Vegas summers, drink water through the day and call your provider if you have vomiting or diarrhea that stops you keeping fluids down. You may need to pause your dose.
In the Diabetes Prevention Program study, metformin lowered the chance of developing type 2 diabetes in adults with prediabetes. Your provider can check your A1c at home and explain your options.
Heavy drinking raises the risk of lactic acidosis with metformin. If a night out on the Strip is part of your life, talk openly with your provider about how much you drink so your plan is safe.
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 Las Vegas and North Las Vegas. Enter your address when you book to confirm the visit.
One of our Nevada-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.
If you have vomiting, diarrhea or cannot drink enough fluids, call your provider. They may tell you to skip doses until you are eating and drinking normally again.