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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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Im at three months of semaglutide and down 20 lbs which is 10% of my starting weight