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Improved gut microbiota : There is recent evidence that suggests that metformin may also positively impact the composition of gut bacteria, which can have implications for weight regulation and metabolic health

Not only does plain tap water lack many of the important electrolytes that your body requires, but drinking it in large volumes can actually dilute important blood electrolytes such as sodium 36

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Your clinician may recommend increasing to the maximum licensed dose if you're tolerating the current dose well