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Apart from this, metformin can cause changes in the microbial composition of the intestinal tract (Vallianou et al., 2019), increased lactic acid production (Misbin et al., 1998), and increased concentrations of glucagon-like peptide-1 (GLP-1) and bile acids (Mannucci et al., 2004

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[DOI] [PubMed] [Google Scholar] 108.Newsome PN, Buchholtz K, Cusi K, Linder M, Okanoue T, Ratziu V, et al

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The Struggle for Health Equity in Vulnerable Communities This policy change could hit some communities much harder than others

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