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But contact your provider if you're unable to keep down any food or liquids for 24 hours or more, if you have severe abdominal pain (not just mild discomfort), if you develop signs of an allergic reaction (rash, swelling, difficulty breathing), if you have severe diarrhea or vomiting that doesn't improve, or if you notice a lump or swelling in your neck

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However, kidney function becomes critical when combining these medications, particularly metformin, which requires monitoring of glomerular filtration rate (eGFR)

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It stimulates the pituitary gland to produce growth hormone for the diagnosis of certain conditions