Randomized Trialhigh evidence
Metformin attenuates metabolic insulin sensitivity and insulin-stimulated carbohydrate oxidation after high-intensity exercise training in adults at risk for metabolic syndrome.
Diabetes, obesity & metabolism·April 1, 2026·PMID 41532329
Why it mattersFor clinicians managing patients at risk for metabolic syndrome, combining metformin with high-intensity exercise may counteract the insulin-sensitizing benefits of exercise alone. This interaction is critical when prescribing lifestyle and pharmacotherapy concurrently.

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