How metformin works Metformin mainly lowers blood sugar by: reducing how much sugar the liver releases helping your body use insulin more efficiently The most common side effects of metformin are stomach-related, especially when you first start taking it: diarrhea nausea stomach discomfort Tip: Many people find that extended-release (ER/XR) metformin is easier on the stomach than the regular kind, and side effects often get better if you increase the dose slowly
Maintaining a rotation schedulesuch as alternating between different quadrants of the abdomen or switching between anatomical sitesallows previously used areas to heal fully and reduces the risk of localised hypersensitivity reactions
The treatment often involves regular injections or oral supplements of cyanocobalamin, based on the conditions severity and the patients response
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