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Rarely, metformin may cause potentially serious lactic acidosis, a buildup of lactic acid in the blood (Diabetes.co.uk 2016)
In the absence of formal guidance, pharmacists and prescribers must rely on pharmacologic reasoning, cautious titration and vigilant monitoring
However, Jaworski said his team has noticed some other concerning trends, including how people are buying compounded or counterfeit GLP-1 drugs from online marketplaces and through social media
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