Metformin - Caveat lector
Two of the most common denizens of aging are
atherosclerosis, a clogging of the arteries that
can lead to life-shortening heart disease, and a
declining immune system, which can mean
decreased resistance to infectious diseases and
even cancer. Metformin, a drug used for years in
Europe to treat adult-onset diabetes, may also
have some anti-aging properties-lowering
cholesterol, for example, and boosting the
immune system. New evidence from the
University of Milan suggests that metformin may
also help treat atherosclerosis.
Over the past 25 years, tests in rats and rabbits
have shown that metformin reduces the ability of
very low density lipoprotein, a form of "bad"
cholesterol, to bind to blood vessel walls, while
making blood platelets less likely to coagulate
and form dangerous clots.
There's exciting recent news concerning what
may turn out to be one of metformin's most
important anti-aging properties: its ability to treat
patients whose blood vessels are constricted by
atherosclerosis. In 1992, a research team led by
C.R. Sirtori of the Institute of Pharmacological
Sciences at the University of Milan tested
metformin on 11 patients with peripheral vascular
disease. Their blood vessels were so clogged
that they could not walk normally for more than
about 550 yards. After treatment with metformin,
however, the patients' blood flow increased by 30
percent, and their exercise capacity increased by
anywhere from 53 percent to 105 percent.
At the low doses (two 500 mg doses per day)
used in the Italian study, no side effects were
noted. Higher doses can produce lactic acidosis,
a condition in which the blood becomes acidic,
and which can lead to nausea and vomiting.
Because it helps normalize the metabolism of
glucose, metformin is widely used in western
Europe to treat adult-onset diabetes.
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