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Stop taking XIGDUO XR and call your healthcare provider right away if you have any of the following symptoms, which could be signs of lactic acidosis: you feel cold in your hands or feet you feel dizzy or lightheaded you have a slow or irregular heartbeat you feel very weak or tired you have unusual (not normal) muscle pain you have trouble breathing you feel unusual sleepiness or sleep longer than usual you have stomach pains, nausea or vomiting Most people who have had lactic acidosis with metformin have other things that, combined with the metformin use, led to the lactic acidosis

The warmth is the physiological signature of that additional mechanism

The Emotional Rollercoaster: Bipolar Disorder and GLP-1s

However, adequate protein intake (0.7 to 1.0 grams per pound of lean body mass) and regular resistance training can substantially minimize muscle loss

Adults with type 2 diabetes saw unexpected weight reduction

Curious about your gut health or blood sugar patterns