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Place the vial upright in the refrigerator, ideally in the back where temperature is most stable

Other medications containing metformin include Invokamet (canagliflozin/ metformin) and Xigduo XR (dapagliflozin/metformin)

My stomach felt off, food noise was loud, and the thought of chewing something heavy made me queasy

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However, in the end, if these changes are not made, true health benefits may not be realized, and the patient would need the medication indefinitely to manage their weight. But the promise is real