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If you have a stock of vials, arrange them so that the ones with the earliest expiration dates are used first

[2] [3] These include: Diarrhoea, constipation, or alternating bowel habits Abdominal cramping Nausea Flatulence Rarely, berberine may cause headache or skin rash

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GLP-1 agonists may be used alone in patients intolerant of metformin or in combination with metformin, thiazolidinediones, and sulfonylureas (or in any combination thereof)