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Nonetheless, metformin use has been associated with changes in the abundance of specific bacterial genera in the gut microbiota, and this has centered on the enrichment of A
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10.1016/j.lfs.2025.123407 [DOI] [PubMed] [Google Scholar] 36
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They are not the same type of drug, they are not interchangeable, and combining them requires careful medical supervision with particular attention to cardiovascular monitoring
