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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

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

Data extraction and bias assessment were performed independently by multiple reviewers

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

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

No medical or veterinary claims are made
