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The Multicenter Metformin Study Group

Ohashi K, Ishikawa T, Hoshii A, Hokari T, Suzuki M, Noguchi H, Hirosawa H, Koyama F, Kobayashi M, Hirosawa S, et al

When in doubt, take less rather than more and consult your prescriber

Primarily summarized into 3 main MOA: MOA: Increases Insulin release/sensitivity, decreases glucagon release MOA: Slows gastric emptying (gastric peristalsis) MOA: Appetite Suppression Patho 101: Plasma glucose is maintained by a tug-of-war between the hypoglycemic effect of insulin and the hyperglycaemic effect of glucagon

Our compounds are medical-grade and sourced from FDA-registered pharmacies

Coordination with endocrinology, primary care, or the prescribing clinician may be appropriate for patients with poor glycemic control, insulin use, chronic kidney disease, or high cardiovascular risk