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These stories range from individuals who were looking to lose a few stubborn pounds to those who needed to make substantial changes for health reasons

This exclusion is statutory, not just a formulary decision, meaning it cannot be overridden by an appeal or exception request

WARNING Before using metformin, tell your health care provider about your medical history, especially if you have: kidney disease heart disease or congestive heart failure liver disease metabolic acidosis or diabetic ketoacidosis high ketone levels in your blood or urine you use insulin or other diabetes medications Talk to your health care provider if you are planning to become pregnant or if pregnant or breastfeeding

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