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When to seek urgent help: Call 999 or go to A&E immediately if you or someone else experiences severe breathlessness, chest pain, collapse, confusion or difficulty staying awake, very dark urine with reduced urine output, or rapidly worsening jaundice

1,2 To minimize adverse gastrointestinal effects, start metformin at 500 mg once or twice a day and titrate upward every one to 2 weeks to the target dose

Most cases are mild to moderate and improve over time as the body adjusts to the medication

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That quick spike feels stronger because of how the body absorbs and processes alcohol

Optavia can lead to initial weight loss, but maintaining weight loss may require transitioning to sustainable eating habits and lifestyle changes