Metformin hydrochloride tablets are not usually used as a weight loss drug, and its main indication is the treatment of type 2 diabetes. This drug may indirectly reduce weight through mechanisms such as improving insulin sensitivity and inhibiting hepatic glucose output, but the weight loss effect varies from person to person and should be strictly used according to medical advice.

Metformin hydrochloride tablets belong to the metformin class of hypoglycemic drugs, which exert their effects by inhibiting liver glucose production and increasing peripheral tissue sensitivity to insulin. Some patients with type 2 diabetes may have weight loss after taking medicine, which is related to the drug's effect of reducing intestinal glucose absorption and appetite. But weight changes usually occur in the early stages of treatment, with limited amplitude and individual differences. For non diabetes patients, the drug manual does not approve their use for simple obesity treatment, and unauthorized use of drugs may lead to gastrointestinal discomfort, lactic acid poisoning and other risks. In clinical practice, there are occasional cases of medication exceeding the instructions, but strict conditions must be met: obese patients with combined insulin resistance must undergo professional evaluation and cooperate with dietary and exercise interventions. Taking medication without diagnosis may mask potential metabolic abnormalities and delay standardized treatment. At present, it is not listed as a first-line weight loss medication in domestic and foreign guidelines, and lifestyle adjustments or approved weight loss drugs are more recommended.

It is recommended that individuals with weight loss needs prioritize scientific methods such as reasonable diet and regular exercise to control their weight. If there is obesity related to metabolic abnormalities, one should go to the endocrinology department for a comprehensive examination and have a doctor evaluate whether medication intervention is needed. During the use of metformin hydrochloride tablets, regular monitoring of blood glucose, liver and kidney function, and vitamin B12 levels is necessary to avoid improper combination with other hypoglycemic drugs that may cause hypoglycemia.

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