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Pairing Metformin with diet and exercise further enhances its effectiveness

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If you experience persistent vomiting, severe abdominal pain, an inability to keep fluids down, or symptoms that continue to worsen, contact your healthcare provider

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Headaches occasionally occur but are often related to dehydration rather than the medication itself

The delta change in fasting insulin was also similar between inulin and cellulose at week nine (23.3 15.4 pmol/L, n = 18 vs 30.5 17.6 pmol/L, n = 17, p = 0.82) and week 18 (35.5 17.8 pmol/L, n = 18 vs 14.7 18.7 pmol/L, n = 17, p = 0.53)