Metformin and Myo-Inositol: A Comparative Analysis

Myo-inositol has a more acceptable safety profile than metformin, which is known to be associated with gastrointestinal adverse effects and, in rare cases, lactic acidosis. Myo-inositol is a naturally present molecule in physiological conditions, which underlines its importance in a variety of biological functions, as opposed to the strict pharmacological action of metformin. Both myo-inositol and metformin have been investigated in several pathological fields, particularly in gynecology where they may improve pregnancy outcomes and fertility care. The safety profile of these molecules seems quite different since data, even if incomplete, sustain high tolerance of myo-inositol, while the safety of metformin use during pregnancy is still controversial. However, further study is required to fully understand the potential of each of these molecules, specifically within the fields of mental health and oncology.

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Publication Details

Journal
Gynecologic and Obstetric Investigation
Published
2025-11-21
DOI
https://doi.org/10.1159/000549646
Primary Topic
Metabolism, Diabetes, and Cancer
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article
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article

Metformin and Myo-Inositol: A Comparative Analysis

Mario Montanino Oliva, Michele Russo, Giuseppina Porcaro, Vittorio Unfer et al.
Gynecologic and Obstetric Investigation
Metabolism, Diabetes, and Cancer
article

Metformin and Myo-Inositol: A Comparative Analysis

Mario Montanino Oliva, Michele Russo, Giuseppina Porcaro, Vittorio Unfer, Maurizio Nordio
article en

Abstract

Myo-inositol has a more acceptable safety profile than metformin, which is known to be associated with gastrointestinal adverse effects and, in rare cases, lactic acidosis. Myo-inositol is a naturally present molecule in physiological conditions, which underlines its importance in a variety of biological functions, as opposed to the strict pharmacological action of metformin. Both myo-inositol and metformin have been investigated in several pathological fields, particularly in gynecology where they may improve pregnancy outcomes and fertility care. The safety profile of these molecules seems quite different since data, even if incomplete, sustain high tolerance of myo-inositol, while the safety of metformin use during pregnancy is still controversial. However, further study is required to fully understand the potential of each of these molecules, specifically within the fields of mental health and oncology.

Gynecologic and Obstetric Investigation
Deutsches Historisches Institut Rom (IT), Saint Camillus International University of Health and Medical Sciences (IT), SIPN S.R.L. (Italy) (IT), Ospedale di Santo Spirito (IT), ASM Terni (Italy) (IT), Sapienza University of Rome (IT)
Openalex Percentile: Top 68%
Metabolism, Diabetes, and Cancer
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Metformin and Myo-Inositol: A Comparative Analysis — Mario Montanino Oliva, Michele Russo, et al. · Gynecologic and Obstetric Investigation (2025) | TGRS Research Map | TGRS