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This is typical for compounded peptides, which do not contain the same preservatives found in brand-name formulations

Do not freeze a reconstituted product unless its manufacturer or dispensing pharmacy explicitly permits it

Avoiding high-fat and greasy foods is critical, as these take the longest to digest and exacerbate the delayed gastric emptying effect

Acidosis lctica (raro pero grave): La metformina conlleva un riesgo muy bajo pero potencialmente grave de acidosis lctica, particularmente en pacientes con insuficiencia renal, enfermedad heptica severa, insuficiencia cardaca descompensada o consumo excesivo de alcohol

doi:10.2337/db21-0459