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Description
The primary risk of continuing metformin through the perioperative period is metformin-associated lactic acidosis (MALA), a rare but serious condition characterized by metabolic acidosis with pH below 7.35 and lactate levels exceeding 5 mmol/L

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The peptide cycle planning guide can help structure a long-term approach

That gap is where DHEA enters the conversation

Miscalculating this can lead to incorrect dosing, and weve seen cases where patients received doses five to twenty times higher than intended due to such miscalculations
