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Consider starting with low-intensity, pleasant movement and always leave gas in the tank instead of chasing exhaustion as the goal

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Additional monitoring considerations include assessing for symptoms of pancreatitis (severe, persistent abdominal pain), gallbladder disease (right upper quadrant pain, fever), or diabetic retinopathy changes

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Metformin slows glucose absorption in the intestines Metformin also helps by inhibiting sodium-glucose cotransporter 1 (SGLT1) , and this process helps reduce glucose absorption in the small intestine