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A reputable practice will always require this consultation step
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This is not a reason to start metformin on its own, but it is a relevant consideration if metformin is already part of the clinical conversation
Sometimesbut only when used carefully
If a problem is detected, the entire batch can be quarantined and rejected
These can include: Hypersensitivity or allergic reactions Nausea, vomiting, or diarrhea Headaches or dizziness Joint pain or stiffness A flushing sensation after injection It is important to note that these risks are rare and usually mild
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