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This decision should be made in consultation with both your prescribing physician and procedural team, and patients should never adjust medications without explicit medical instruction

It is that it gives us another way to build care around what the patient is feeling and what they want to improve

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WARNING Before using metformin, tell your health care provider about your medical history, especially if you have: kidney disease heart disease or congestive heart failure liver disease metabolic acidosis or diabetic ketoacidosis high ketone levels in your blood or urine you use insulin or other diabetes medications Talk to your health care provider if you are planning to become pregnant or if pregnant or breastfeeding