Metformin ER | Livv Telehealth

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Custom longevity treatment

Metformin ER

Description

A convenient daily medication traditionally used to treat diabetes, Metformin ER can help support cellular health, metabolic function, and healthy aging in a gentler extended-release format.

Takes 2 minutes • No charge unless approved

6 month plan

$30/month

3 month plan

$35/month

Monthly plan

$50/month

What is Metformin ER?

Metformin ER (extended-release) is a prescription medication commonly used to support blood sugar regulation and metabolic function. In compounded form, it's prepared to release slowly over time, helping reduce gastrointestinal side effects that some people experience with immediate-release formulations. Beyond its traditional use, metformin has also been widely studied for its role in metabolic health and aging-related pathways.

What you'll get

personalized plan icon Personalized treatment plan designed for you
medication icon Convenient access to prescribed medications
check-in icon Ongoing check-ins with licensed providers
adjustments icon Adjustments tailored to your progress
discreet care icon Discreet, judgment-free care

How to take

  • Take one capsule daily, preferably in the evening with food to help improve absorption and reduce potential stomach upset.
  • The doctor will personalize your instructions to fit your unique needs. Details will be included in your shipment, if prescribed.
  • Always reach out to your provider if you have any concerns or need assistance.

Side effects

  • Our extended-release formula is designed for fewer side effects than most metformin treatments, though some patients may experience mild and temporary side effects such as digestive upset, vitamin B deficiency, and appetite changes. Contact your provider if you notice any side effects that bother you or don't go away.
  • Prescription products require an online consultation to determine if a prescription is appropriate. We include regular follow-ups with your provider to monitor your response.

*For a 6-month plan paid upfront. Actual price depends on the product and subscription plan.

Only available by prescription from provider after virtual consultation. Actual product packaging may appear differently than shown. Compounded drugs are permitted to be prescribed under federal law but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Individual results may vary.​

Who it's for

Metformin ER is designed for adults seeking improved metabolic balance, and may be a strong option for those seeking a proactive, longevity-focused approach to health.

Low energyInsulin resistanceInflammationMetabolic imbalanceBrain fogAge-related decline

Why Metformin ER?

Metformin ER is used to support foundational metabolic processes that affect energy balance, weight regulation, and long-term health.

Better cellular health
Lower inflammation
Supported metabolism
Healthier aging

Taking Metformin ER

How it works

Metformin ER primarily works by improving how the body responds to insulin. Newer research has found that it also influences cellular energy and metabolic pathways, potentially reducing oxidative stress, lowering inflammation, and optimizing how your body uses energy. This kind of cellular upkeep may help slow age-related decline and support long-term health. The extended-release formulation delivers the medication gradually, helping maintain stable levels throughout the day and supporting a smoother, more tolerable experience.

What to expect

Metformin ER is designed to support long-term metabolic maintenance with minimal side effects. Benefits tend to develop gradually over time as metabolic processes adjust. Your provider will guide dosing, monitor response, and make adjustments as needed based on your goals and tolerance. Individual results may vary.

Potential side effects

The most common side effects are usually mild and temporary, including digestive upset, vitamin B deficiency, and appetite changes. Your provider will review your health history and monitor results to help minimize potential risks and ensure the treatment is safe and effective for you.

Dr. Gidon Akler, MD
Tailored to you

Aging is personal—your care should be too

Livv providers take a proactive approach to long-term health, aiming to provide care that supports your health today and your goals for the future.

Dr. Gidon Akler, MD

Board-Certified in Medical Genetics & Genomics

Start treatment in 4 easy steps

Intake forms

10-15 minutes

Answer a few quick questions about your health history and goals.

Doctor review

Up to 2 days

A licensed provider will determine if the treatment is the right fit for you.

Order processing

5 business days

The order will be compounded, processed, and shipped, if prescribed.

Free standard shipping

3-5 days

Your treatment will ship quickly and discreetly to your door at no cost.

What our patients are saying

4.8 (6 Reviews)

I started Metformin ER to help with metabolic balance, and it's been much easier on my stomach than I expected. The extended-release made a big difference.

Rachel M.

January 12, 2026

It took a couple of weeks to settle in, but once it did, I felt more consistent energy and fewer cravings. Livv explained what to expect upfront, which helped.

David L.

January 7, 2026

I appreciate that this feels like a steady, long-term support rather than something extreme. The dosing plan was simple and easy to follow.

Monique S.

January 5, 2026

Mild GI discomfort at first, but it passed quickly. Overall, Metformin ER has fit well into my routine and feels very manageable.

Derek T.

January 2, 2026

The consult was thorough and realistic. I like that Metformin ER supports my goals without making me feel jittery or restricted.

Uma P.

December 30, 2025

Straightforward process and clear instructions. This has helped me feel more balanced day to day, and Livv made everything smooth.

Andre K.

December 28, 2025

Common questions about Metformin ER

Visit our FAQ page for more

Why choose extended-release metformin?

Extended-release formulations are designed to release medication gradually, which may improve tolerability and reduce gastrointestinal side effects.

Will Metformin ER help me lose weight?

Weight loss isn't guaranteed, but some people do notice a reduced appetite and slow, steady changes in body composition. Metformin ER may support better metabolic function, which can make it easier to manage weight alongside a healthy lifestyle.

Can Metformin ER be taken long-term?

Usually, yes, but it's important to check with your provider. It's one of the most widely prescribed medications in the world, with a strong safety track record going back decades. That's a big reason why it's being studied so heavily for long-term benefits like healthy aging and disease prevention.

Who should not take Metformin ER?

Metformin ER may not be appropriate for everyone. Treatment should be avoided if you:
• drink alcohol heavily, which may increase the risk of severe side effects
• have a history of lactic acidosis or metabolic acidosis
• have significantly impaired kidney or liver function
• have conditions that reduce oxygen flow, like severe infections, dehydration, or heart failure
• are pregnant or breastfeeding, unless cleared by your provider
Always discuss your medical history with a provider before starting a new treatment.

How is Metformin ER dosed?

Our Metformin ER is typically prescribed in 500mg capsules. Your treatment plan will be personalized to fit your unique needs, goals, and health history. Be sure to fill out your intake forms thoroughly and honestly to allow the doctor to prescribe the best dosage for you.

If eligible, how much does this treatment cost?

Our treatments are priced competitively and transparently to ensure accessibility for our patients. The price includes your initial consultation, follow-up visits, ongoing support, shipping, and any necessary supplies - with no hidden fees.

Your cost depends only on the subscription plan you choose:

  • 1-month plan: $55/month
  • 3-month plan: $35/month
  • 6-month plan: $30/month

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