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Understanding the timing and nature of side effects helps in managing expectations and seeking timely medical advice

Shaaban MM

That doesnt automatically mean theyre unsafe, but it does mean more unknowns

Drug interactions: metformin Carbonic anhydrase inhibitors (acetazolamide, zonisamide) Drugs reducing metformin clearance (cimetidine, dolutegravir, ranolazine, vandetanib) Alcohol (risk of lactic acidosis) How they work together Januvia increases incretin levels to boost insulin release and lower glucagon, while metformin reduces hepatic glucose output and improves insulin sensitivity

It may not be used for the prevention or treatment of diseases