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Metformin alternatives? My doctor took me off the minimal dose (500mg) of Metformin due to a concern about some minor kidney issues (I hope) And he wants to see how my A1c's are without it, I've been under 6.3 for 4 years with the last 4 A1c's at 6.0 but in the event I need another oral medication that won't interfere with my kidney functions, what are some others that are being prescribed?

Tin S replied: "•Sulfonylureas stimulate your pancreas to make more insulin •Biguanides decrease the amount of glucose made by your liver •Alpha-glucosidase inhibitors slow the absorption of the starches you eat •Thiazolidinediones make you more sensitive to insulin •Meglitinides stimulate your pancreas to make more insulin •D-phenylalanine derivatives help your pancreas make more insulin quickly. Also insulin injections. Good luck"

Just out of curiosity, are there any non-prescription alternatives to Metformin? I am NOT diabetic, just curious.

Harvey replied: "No. At least, not anything that does that Metformin does. People may make claims that productX "helps" with diabetes, but they aren't specific. The closest thing is exercise. Lots and lots. It forces the insulin in your body to grab the sugar in your blood. But we're talking hours and hours every day to "replace" the effect of some metformin. Honestly, if metformin works for you, you should take it. It's the cheapest drug for type2 diabetics. The side effects aren't very bad and it's easy to integrate into your life. If your aversion is to the idea of being on pills and being dependant, well, I can't help you with that. All I can say is that you aren't helping yourself with that attitude. If you are diabetic, you need to accept it in order to deal with it properly. You're sick. You need medical help. Let them help you."

ashleigh h replied: "I think harvey shes probably asking not because she's a diabetic maybe bc she suspects PCOS which is treated with metformin bc PCOS can be caused by insulin resistance... i don't know of any non-prescription alternatives to metformin however my grandmother who was insulin resistant went to a naturopathic doctor and instead of being on drugs to control it he changed her diet and she has been in perfect health ever since"

Lauren replied: "If you are asking because of PCOS, then I do not know of any other drugs that you can take to help your PCOS. I am currently on Metformin for PCOS and so far it has been working great. I started at 500 mg a day and have slowly worked my way up to 1000mg a day. I am hoping that in Jan. I will be able to increase to 1500mg. Nonetheless, there are several things that you can do to help the process along. First and foremost is exercise. For many people who experience some form of being overweight, losing 10% of their current weight helps to start your ovulation again. However, I will say that if you are not overweight, then this will not help you and you probably should not try to lose 10% of your current weight. This is the category that I fell into because I already work out my doctor said that losing weight would not help me. The second thing is that you can help your PCOS with a controlled diet. There are several sites online the discuss a low GI diet. Basically try and stay away from white bread and such. Also eat your recommended servings of veggies and proteins. If you want some more tips you can check out the site I referenced in the source area. Good luck with this. Having PCOS can be VERY frustrating at times, but always know that you are not alone. A lot of women have it. I wish you the best!"

Is there a natural alternative to metformin without the side effects? I have been taking metformin for PCOS for a little over a month and am so exhausted I can only stay awake for a few hours at a time. Is there some kind of vitamin or herb that works the same way (or better) but wont make me so tired?

Cait replied: "The natural alternative to metformin is you pancreas functioning properly and since that is not happening you need some sort of medication to help it function. Try actos it is no more natural than metformin it works about the same way, but is a different med and you might not be so exhausted on it."

Alternatives for Metformin? Please!? I am insulin resistant, and my specialists are "almost positive" that I have polycystic ovary syndrome. (They're useful, I know.) My cardiologist prescribed Metformin to me five-six months ago. Because my regular doctor had no idea what else to do, he told me to just keep taking it even though it was not really working. He said to give it time, and I would start losing some of the weight I've recently put on, and the darkened "velvety" skin on the back of my neck would disappear. Half a year later. The neck is darker than ever, I've not gained nor lost weight, and all the other POS symptoms are slowly getting worse. I'm in the middle of trying to break away from my old doctor, because he really does give no effort in trying to help me anymore, and finding myself a new family doctor. My question is simple. No matter who I have to ask, is there anything else I can start taking besides the Metformin? It gives me terrible stomach pains and diarrhea, and it does not work. I just can't keep taking this pill anymore. (1000mg daily.)

Surely Funke replied: "Many PCOS patients are treated with hormones (birth control pills). At the risk of sounding like a commercial, why don't you ask your doctor if birth control pills are right for you? "

pharmman replied: "Good lord yes there are alternatives if you are not tolerating metformin. Actos, glimerperide, glyburide and byetta are all indicated to get those pancreatic beta cells back in line and doing there job. Please see another doctor if the one you are seeing is not willing or knowledgeable enough to try you on something else. ps. I believe some of those medications I listed actually have metformin in them but at a lower dose. "combo" medications are usually better tolerated than just metformin alone if you are having problems. Don't give up...there is sure to be something that you are better able to tolerate. Metformin just happens to be cheap and good. But if you are not adjusting to it then by all means try something else."

Is there a natural alternative to metformin for PCOS? I'd like to try something natural before going to the real thing..Thanks!

david c replied: "If metformin is working for you, don't stop taking it! All of these treatments are safe to use with metformin if your doctor oks it. You will want to be careful with diet and exercise because metformin can cause your blood sugar levels to get too low. You are also more likely to get dehydrated while on metformin, so make sure you keep your fluid intake high. * Herbs for PCOS are very popular because they work well. Just be sure you know what you are taking and why. Any herb strong enough to help you is also potentially harmful. Be sure to research potential the side effects and get your doctor's ok before taking any herb. The most common herb for PCOS is vitex, also known as chaste tree berry or agnus castus. * Many women with PCOS report that a low-glycemic index diet has an amazing effect on their symptoms. For many women with PCOS, the low-glycemic index diets are the only way to lose weight. The majority of women with PCOS have insulin resistance. Insulin resistance is what happens when your body overreacts to sugar and carbohydrates in your diet. Eating certain foods such as white bread, rice, potatoes and sugary foods causes your blood sugar to rise quickly because these foods are digested very quickly. Your body produces too much insulin to deal with this rapid increase in blood sugar. The insulin does its job of helping your cells to use blood sugar. However, too much insulin causes your cells to get too much blood sugar too quickly. To protect themselves the cells become resistant to insulin. Metformin helps your body to use insulin effectively again. However, studies show that diet and exercise are even more effective than metformin. A low glycemic diet is basically about eating more natural foods that are digested slowly, such as vegetables. These foods cause your blood sugar to rise slowly so your body produces just the right amount of insulin. Combined with exercise, this diet retrains your body to use insulin properly and the insulin resistance is greatly reduced. I have listed some of the best low glycemic diet boosk below. * Exercise is the best natural treatment for polycystic ovary syndrome. Exercise improves your mood, reduces your cholesterol, and teaches your body to use insulin efficiently. Moderate exercise is all that is needed. Thirty minutes a day 3-5 times a week is enough for most people. Do be sure to check with your doctor before beginning a new excercise program just to be sure everything is in order. * Mind-body therapies include focused relaxation, reiki energy therapy, massage, support groups and life coaching. All of these things can help reduce your stress and improve your health. We know that stress drastically increases the symptoms of PCOS. Reducing stress can make a huge difference in your symptoms."

Diabetic help: What should be the alternative way to do when metformin no more works? I have been a diabetic for 10 years. I used to take 1 tablet of metformin 500mg together with foods 3 times daily, and my glucose level were well controlled. Recently my glucose level are high, reading 13 - 16 mmol 2 hrs after 2 tablets of metformin and foods. Any add- on medicine for me, or herbs to recommend? Thanks.

Clint S replied: "I am going to be the bearer of bad news here. If your body is no longer responding to metformin, it is because you are becoming tolerant of the drug. You can ask your doctor to switch drugs or ask him for a higher dosage. Unfortunately, the medications will eventually not elicit a response and you will need insulin. The other possibility is that your body has already regressed into type 1 diabetes. Again, this requires you to use insulin. On the brighter side of the road, insulin has come a long way. Managing diabetes with insulin is much simpler than it used to be. There are fast acting insulins and insulins that work over 24 hour periods. Plus, technology has given us multiple delivery systems and the insulin pump has revolutionized life for diabetics. The best medications are exercise and diet. Try to run or walk every day. Running can drop your glucose over 50 points in a matter of minutes. As far as herbal supplements, the Apple Cider Vinegar works. Look for the organic or sediment loaded apple cider vinegar. Just take a teaspoon in water before your meals. Just be careful because it does make it go low in between meals. ."

hypnobunny replied: "I started as a type 2 and I am now insulin dependent. Your sugar level , and the fact that you have been on oral agents a long time, suggests that it might be time to start insulin. They will usually start you on a long acting insulin like lantus. Don't freak out, taking insulin is not big deal. The needles are very thin and you inject into the fat by your stomach. You will start by only taking one shot a day."

Noccie replied: "There are A LOT of other diabetes medications. Look on to see the long long list of medications. You need to work with an endocrinologist not just your family doctor at this point. An endocrinologist has more information on all the types of diabetes medications and how they interact with each other."

Mama Mia replied: "Yes, they would probably add another pill or just start you on low dose once a day insulin"

Has anyone else with diabetes type 2 experienced problems with metformin? When first diagnosed 7 years ago I was prescribed metformin, then a couple of years ago for no apparent reason it stopped working and I was prescribed Avandamet, a combined metformin and rosiglitazone. A month ago a blood test showed my overall sugar level to have risen from the usual 5 to 6 and my doctor put me back on metformin only. (I know there was some concern about rosiglitazone at the time so that could have been the reason for the change) Now it is, again, as if I was not taking any medication at all. I am due for another check up this week, and wondering what the doctor will suggest next. Is it that the metformin is not suitable for me and what alternatives can I expect. My doctor is not a great one for discussing anything with patients, so it's a case of being forwarned is forarmed.

wcanoodle replied: "You could go to an endocrinologist. They might be better informed about diabetes than a general practitioner."

martin m replied: "Apart from my kite flying improving due to wind ,no . The only thing i do notice is that when i collect my medication from the pharmacy ,if the brand of metformin is different it can some times upset my stomach for a few days."

Aurora replied: "My spouse has been taking metformin for about six years now, but has had to increase the dose, as diabetes is a degenerative illness. He now takes gliclazide as well, which seems to work very well. Gliclazide can cause hypos though, so if the doctor gives you that, take care until you get used to it."

skeet replied: "Get a second opinion don't you have a diabetic nurse"

tracieisland replied: "metformin is no good.......its all about willpower when u lose weight or want to........or not in some peoples cases."

SteveB replied: "Hi Florence, I have had type 2 for quite a long time now. I have been on the maximum dose (6 500mg tablets per day) for a while. It seemed that the only prolem that I had was quick run to the loo, but that was solved by only taking them with meals. However I have now found that I have kidney diese which i have been told is probably due to the metformin. I have been moved onto slow release insulin (1 shot per day) instead of the glicnoside i was on, but still take the metformin at the moment, mu control with the insulin is great (wish i'd done it years ago) not sure about the metfomin yet as they are delighted with the ciontrol and do not want to change it. the clinic are trying to control the kidney diese, if they can then maybe the metformin will stay. good luck with your problem, hope it works out for you"

Fluffy Ewe replied: "there are 7 classes of diabetes 2 medications to be experimented with by you and your doctor. You have only been exposed to 2 of them. then there are the insulins. You may be able to take some of the other things available in pill form before the doc decides time is right to try insulins. I bless the day my doc suggested the long acting insulin!! But this is not an excuse for not watching every bite of food and strictly limiting carbs!! Over indulgence puts it right onto my tummy area!! Wishing it were on my butt as I could use some padding in that area!! the metformin XR is a great med!! it doesn't mess with my digestive system as some of the regular met did. Not sure it is still working as it should. But will continue to take it as directed."

BOB PHX replied: "Yes, you should consider seeing an endocrinologist if you are in an area that has one. I have been taking metformin for years, but when my blood sugars started running high for no apparent reason, my doctor added Byetta, which is an injection. Been on it for 45 days, and seems to help."

Mr. Peachy® replied: "I have only when I consume dairy products. As long as I stick to my diet, continue to exercise, keep my weight down, and avoid dairy products, my sugar is easy to manage... I only take two 500mg tabs a day. Sometimes less, when I'm going to be exercising for more than an hour. Don't feel lonesome about pigheaded doctors.... they're abundant. Nurses too, in some cases. They get kinda funny when you blow them away with facts and figures though. Go out and learn more than your doctor... it only takes a few weeks to accumulate more knowledge about diabetes than 80% of all doctors out there. This stuff is not kept hermetically sealed in a mayonnaise jar on Funk and Wagnall's porch, either. There's tons of info readily available:=&article_id=218392748 For starters. Let me know if you need more."

Jo Greendragon replied: "Yes, I have. It simply does not reduce my blood sugar levels at all. Even after 3 months it still does not work. But the GP simply won't accept that. I want to see a specialist, at least to start with and get this diabetes under control. I am currently trying to change my GP because of a refusal to refer me and GP insists that Metformin should work, therefore if it does not then I must not be taking it properly.. My problem is high morning levels of blood sugar, before I even start eating. I tried eating more vegetables, but unless I stop eating all carbs, my blood sugar is still well above normal. Wholemeal bread etc does not seem to help. Fruit sends it through the roof."

Calexi R replied: "I HAVE. Oh it was the worst! My stomach was so bad, and lost so much weight i just had to stop taking it, I am not obese, nor did i need to loose that much weight, and certinaly did not want to loose it that way ( living in the bathroom). I was switched to a combinationof pills before being put on 2 insulins, and actos, and am now about to have the insuilin pump. I was daignosed 2 years ago, and I am only 32 ! Not obese, and was otherwise healthy and am already having so many complications. Sometimes your body resists the meds ( like mine) and they have to find the right combination for yours give it some time they will get it right."

Janet K replied: "The obvious answer would be to wait until your HbA1C result confirms any abnormality. I presume you have been continuously taking metformin for at least one clear month so it may be advisable to have another HbA1C three months after discontinuing the rosiglitazone. Your blood glucose levels do not indicate any cause for concern and could easily be attributed to changes to your normal routine of diet/exercise/health/social factors. Examine these possibilities and ask to speak to the Diabetes Nurse at your G.P. practice if you need another sounding board other than your Doctor."

Metformin.... alternative? Hey, Ive been on metformin for a few months for insulin ressistance/diabetes and its been making me really ill. so my specialist says to stop and that next time i see him hes going to put me on something diffrent, does anyone kow what this could be, I dont know of any alternatives at all. Just wondering so i can look in to it before i start taking it, Thanks x lol.. i dont have high colest. im 19 .. and im not over weight.. just.. insulin ressitant

fried okra replied: "glucaphage."

Batty replied: "The answer is Pioglitazone. It will also help to lower your cholesterol and therefor lower your risk for cardiovascular disease."

Mazher replied: "What Are the Alternatives to Metformin? Metformin (Glucophage®) is a prescription medication used for the treatment of type 2 diabetes. A long-acting form, metformin ER (Glucophage XR®), is also available. For most people, metformin is effective in treating their diabetes, and most people tolerate it well. However, as with all medicines, side effects can occur. In other cases, the medicine may not completely control a person's diabetes. Fortunately, there are several alternatives to metformin. Some of the metformin alternatives include: Lifestyle changes Other oral diabetes medications Insulin and other injectable diabetes medications. Lifestyle Changes for Type 2 Diabetes Many lifestyle changes have been shown to be very effective for controlling type 2 diabetes (especially early type 2 diabetes). These lifestyle changes include weight loss, becoming more physically active . In fact, these changes are important for all people with type 2 diabetes, including people taking diabetes medications. For many people, lifestyle changes alone may not be enough to adequately control type 2 diabetes. For these people, medications (including oral and injectable medications) may be necessary. Oral Diabetes Medications Fortunately, there are many different types of oral medications available to treat type 2 diabetes, including: Sulfonylureas Meglitinides Thiazolidinediones Alpha glucosidase inhibitors Dipeptidyl peptidase inhibitors Combination medications. Sulfonylureas Sulfonylureas are medications that force the pancreas to produce more insulin. Because of this, they are very effective, but are also more likely to cause dangerously low blood sugar (hypoglycemia). These medications include: Chlorpropamide (Diabinese®) Glimepiride (Amaryl®) Glipizide (Glucotrol®) Glyburide (DiaBeta®, Micronase®, Glynase®) Tolazamide (Tolinase®) Tolbutamide (Orinase®). Meglitinides Meglitinides are similar to sulfonylureas, in that they force the pancreas to produce more insulin. However, they are short-acting and are less likely to cause dangerously low blood sugar. They are usually taken before every meal. Meglitinides include: Repaglinide (Prandin®) Nateglinide (Starlix®). Thiazolidinediones (Glitazones) These medications mainly work by decreasing insulin resistance and are therefore less likely to cause dangerously low blood sugar. These medications include: Pioglitazone (Actos®) Rosiglitazone (Avandia®). Alpha Glucosidase Inhibitors These medications prevent the breakdown of sugar and carbohydrates in the digestive tract, slowing their absorption. These medications are used to decrease blood sugar levels after meals. These medications include: Acarbose (Precose®) Miglitol (Glyset®). Dipeptidyl Peptidase Inhibitors This is the newest class of oral diabetes medications. Although more medications in this group are currently under development, there is currently only one medication available in the group -- sitagliptin (Januvia®). These medications increase incretin levels in the body. Incretin is a hormone that helps to regulate blood sugar in the body. Combination Medications There are a variety of combination medications available, including: Glipizide and metformin (Metaglip®) Glyburide and metformin (Glucovance®) Pioglitazone and glimepiride (Duetact®) Pioglitazone and metformin (Actoplus Met®) Rosiglitazone and glimepiride (Avandaryl®) Rosiglitazone and metformin (Avandamet®) Sitagliptin and metformin (Janumet®). Insulin and Other Injectable Diabetes Medications There are a variety of different types of insulin and other injectable medications for type 2 diabetes, including: Insulin Incretin mimetics Amylin analogues. Insulin There are a variety of insulins available, including short-, long-, or intermediate-acting insulins. There is also an inhaled insulin available (Exubera®). Incretin Mimetics There is one incretin mimetic available, called exenatide (Byetta®). It works by acting like the incretin hormone in the body, increasing insulin production and slowing digestion. Amylin Analogues There is one amylin analogue available, called pramlintide (Symlin®). This medication works like the amylin hormone in the body, increasing insulin production, slowing digestion, decreasing the production of glucose by the liver, and reducing appetite. A Summary of Alternatives to Metformin There are several alternatives to metformin for type 2 diabetes, including lifestyle changes or other medications for diabetes. If metformin is not working for you or if it is causing bothersome side effects, ask your healthcare provider about trying an alternative to metformin. for more diabetes relates issues visit"

sue replied: "There are 6 classes of oral antidiabetes meds and 1 injection which is not insulin that the doctor may prescribe for you. "

hava replied: "Start doing these exercises and this will be your alternative to metformin.Do it and tell your specialist(he will not believe it) and show him the sugar levels record. These pranayam exercises will help control the diabetes and the side effects.Build up the timing gradually.If you feel tired or dizzy, stop and resume later.The benefits will be noticed in weeks as the sugar level is checked daily.Over the long tern the diabetes will be in full control and the medicine can be reduced in consultation with the doctor. Anulom Vilom – Close your right nostril with thumb and deep breath-in through left nostril then – close left nostril with two fingers and breath-out through right nostril then -keeping the left nostril closed deep breath-in through right nostril then - close your right nostril with thumb and breath-out through left nostril. This is one cycle of anulom vilom. Repeat this cycle for 20 to 30 minutes twice a day(maximum 60 minutes in one day). You can do this before breakfast/lunch/dinner or before bedtime or in bed.Remember to take deep long breaths into the lungs.You can do this while sitting on floor or chair or lying in bed. Kapalbhati -(Do it before eating) Push air forcefully out through the nose about once per second. Stomach will itself go in(contract in). The breathing in(through the nose) will happen automatically. Establish a rhythm and do for 20 to 30 minutes twice a day.(Max 60 min/day) Not for pregnant women. Seriously ill people do it gently. Also everyday press the centre point of the palm of your hand 40 times with the thumb and press the tips of all fingers 40 times each."

What are good alternatives to Avandia for treating type II Diabetes? I''ve been on Avandia for 3 years, and take metformin as well. Now today, news stories show significantly increased heart attack risk with Avandia, and since heart disease runs in my family, I'd rather not chance it. Plus, Avandia makes it really hard to keep weight down, in my experience.

Canbarra 2 replied: "My doctor just increased my Metformin to three a day. In other words with each meal. But I am also on insulin. But since the warning on Avandia came out I will stay away from that drug. We who have Diabetes do not need unwanted problems from drugs."

Cammie replied: "I stopped avandia several yrs ago after i found out it caused fluid retention . I am glad I did. The statistics on this med sound just horrible . Doctor : I have some good news and some bad news " Family member of a patient with diabetes " Tell me please " Doctor "Your relative's blood sugar is great but he has had a massive heart attack and is dead " Your doctor can help you decide what to do to replace the avandia. Good luck."

mtphellas1 replied: "Ask your doctor about ACTOS it is a TZD that works on a different gene receptor. Ask him about the "Proactive" study. (Avandia's main competitor) Ask if the heart problem is a class effect. I do not beleive that it is. But ask your doctor what he recommends. Actos is Pioglitazone hydrochloride."

justwondering replied: "It is very likely going to be a class effect, so Actos is not an appropriate alternative. The Avandia story has been over-hyped. Read the response in the Lancet, another respected journal. All diabetics are at risk for heart disease regardless of which medication they use. Talk it over with your doctor."

Does anyone know a natural alternative to spironolactone for pcos? I have elevated androgens, acne, mild hair loss, excess body hair. My weight is perfect though. I also have mild hypoglycemia due to insulin issues. I HATE DRUGS. Has anyone found an alternative to spiro? One of my holistic docs (the endocrinolist one) is suggesting spiro and metformin. Yes, drugs have plants in them. But they also have toxic man made ingredients.

SkepDoc 2.0 replied: "Polycystic ovarys lead to all sorts of hormonal problems in women with the problems you have described. There is very good evidence that the medications you have mentioned help. Both of them are safe and clinically proven. Your endocrinologist is certainly the best one to advise you on treatment of this complex problem. Proper diet, exercise and weight loss are a part of the treatment. I've got news for you though...plants are "drugs" too. And there are none that I am aware of that are effective for PCOS."

manski replied: "I've asked my endo cause I HATED to after taste of the spino and he said no there isn't."

natpractitioner replied: "You are very, very wise to try to avoid pharmaceutical drugs if at all possible. Yes, there are alternatives to spironolactone and metformin in the treatment of PCOS. Natural treatment of polycystic ovarian syndrome is multifactorial. You should see a qualified naturopath for specific herbal remedies and diet recommendations, but the basics are below. Lifestyle. Exercise and weight reduction have been shown to be highly beneficial in the treatment of PCOS and its symptoms. Exercise can helps reduce weight, regulate menstrual cycles, and reduce risk factors for diabetes and heart disease which are associated with PCOS. PCOS Diet. Women with PCOS respond well to a low glycemic index, low simple carbohydrate, low animal product, high fiber diet which helps reduce weight, regulate blood sugar and insulin levels, and reduce inflammatory prostaglandins. Nutritional Therapy. Depending on your specific presentation of PCOS, there are a variety of nutritional therapies which will be considered. Nutritional therapies can help to regulate blood sugar and insulin levels, reduce circulating androgens, improve ovarian function, improve fertility, reduce risk of heart disease, and support liver detoxification of estrogens. Herbal Therapy. Depending on your symptoms of PCOS, a variety of herbal therapies may be considered. The goal of herbal medicine might include: reducing circulating androgens, optimizing ovarian function, and supporting optimal endocrine function. By the way, just to let you know why you are so wise to avoid spirolactone: Even though the drug that your endicrinoligist is suggesting has been shown to be effective in hormone-induced acne it has various unpleasant side effects. Spironolactone is a diuretic [it causes you to pee a lot]. The side effects in low-dose spirolactone are: irregular menstrual cycle [most common] breast tenderness [most common] thirst, dry mouth stomach cramps, vomiting, and/or diarrhea headache dizziness increased blood potassium levels low blood pressure Both blood potassium levels and blood pressure should be checked periodically while you're taking this medication. Also, you shouldn't get pregnant while using spironolactone. And spironolactone isn't a good choice for you if you have kidney problems, or a history (or family history) of breast cancer, uterine cancer, or ovarian cancer. According to the National Institutes of Health, spironolactone is known to have caused tumors in lab animals. Metformin is also much less desirable than the low Glycemic Index diet that is recommended for PCOS patients. Its side effects include: MALAISE. GI DISTURBANCE. VITAMIN B12 MALABSORPTION. ELEVATED HOMOCYSTEINE PREGNANCY COMPLICATIONS. ANEMIA.LIVER OR KIDNEY PROBLEMS. MULTIPLE MEDICATIONS. You may be at risk for health problems or symptoms if you take metformin in addition to other medications. HAIR LOSS. LACTIC ACIDOSIS. BILE ABNORMALITIES."

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