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Stop taking Metformin tablets and call your healthcare provider right away if you get any of the following symptoms of lactic acidosis: Feel very weak and tired Have unusual (not normal) muscle pain Have trouble breathing Have unusual sleepiness or sleep longer than usual Have unexplained stomach or intestinal problems with nausea and vomiting, or diarrhea Feel cold, especially in your arms and legs Feel dizzy or lightheaded Have a slow or irregular heartbeat You have a higher chance of getting lactic acidosis if you: Have kidney problems

Safer Alternatives and When to Seek Medical Advice Licensed alternatives include semaglutide (Wegovy) and orlistat for weight management, and NHS-prescribed somatropin for confirmed growth hormone deficiency

For context, tirzepatide's SURMOUNT-1 Phase 3 trial showed mean weight reductions of 20.9% at the highest dose (15 mg) over 72 weeks

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