“…Adverse effects of the antidiabetic have been observed in some sh species, such as Pimephales promelas, Oryzias latipes, Betta splendens, and Astyanax lacustris. The observed changes include variations in vitellogenin levels, estrogen receptor levels, gonadotropin-releasing hormone levels, alterations in the expression of the CYP19A gene, presentation of oxidative stress, endocrine disruption, effects on animal behavior and morphological modi cations in gills (Crago et al, 2016;Lee et al, 2019; Maclaren; Wisniewski; Maclaren, 2018; Barbieri, 2022). Among the most notable effects of Metformin is the occurrence of intersex individuals in male P. promelas, induced by activation of vitellogenin mRNA transcription, a protein responsible for vitellogenesis that usually is only expressed in females (Niemuth et al, 2015).…”