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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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The study assesses the livelihood vulnerability of Syrian refugees based on a capital framework and vulnerability dimensions (exposure, vulnerability and adaptive capacity) determined by Intergovernmental Panel on Climate Change (IPCC) by creating a Livelihood Vulnerability Index (LVI) to capture socio-economic problems, the presence or absence of diverse forms of capitals, and problems of organisation or balance among these capital types