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Description
In the renal proximal tubule, GLP-1 reduced Na + /H + exchanger isoform 3 (NHE3)-mediated bicarbonate reabsorption [660]

For many patients, these symptoms diminish over time as the body adapts to the medication, as noted in the Summaries of Product Characteristics (SmPCs)

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Women with PCOS are often prescribed metformin as it improves insulin sensitivity, reduces serum androgen levels, and restores the menstrual cycle, triggering ovulation
