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Metformin, a biguanide, has been a cornerstone of type 2 diabetes pharmacotherapy for decades, with an established safety profile and extensive clinical experience

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Slowed gastric motility at 15 mg can lead to constipation, particularly if fluid and fiber intake are inadequate

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Data extraction and bias assessment were performed independently by multiple reviewers

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The dose-response curve that your healthcare provider carefully calibrated when setting your starting dose no longer applies in the same way

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Discussing lifestyle factors, including alcohol intake, diet, and physical activity levels

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No medical or veterinary claims are made

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