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contraindicated in patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 Post-marketing surveillance through the FDA Adverse Event Reporting System (FAERS) and international pharmacovigilance databases continues to monitor for rare or delayed adverse effects

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The UKPDS study showed reduced cardiovascular mortality in overweight patients treated with Metformin versus other diabetes treatments

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[11] Renal function should be checked if dehydration is suspected

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In the early 1950's, Earl Sutherland and Christian de Duve demonstrated that pancreatic glucagon production was abolished when the function of islet -cells was compromised by treatment with either cobalt or synthalin A but was preserved upon alloxan-induced impairment of the exocrine pancreatic acinar and islet -cells [14,15]

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dispose in a sharps container [14]

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