If you notice any of these signs, its best to discard the vial and get a new one
You should discuss alternatives with your prescriber if: Severe reflux persists despite maximum medical therapy (twice-daily PPI plus lifestyle modifications) for more than 8 weeks
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It is not intended to diagnose, treat, cure, or prevent any disease, and it is not a substitute for a consultation with your physician
Metformin is sometimes used off-label in the UK for women with PCOS who have not responded to lifestyle changes, particularly if they have impaired glucose tolerance or type 2 diabetes
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