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Adverse effects are increase in appetite and weight gain, which is serious in already obese patients. Hypoglycaemia can occur with any of these drugs and is particularly dangerous in the elderly. Gastrointestinal upsets and allergic skin rashes have been reported, as has bone marrow damage, which is rare but nevertheless severe. Biguanides do not affect insulin production but they do require some functioning β-cells rosuvastatin calcium price work.

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