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In the Metformin in Gestational Diabetes (MiG) trial published in 2008, in which patients were randomized to insulin versus metformin, there was a signal that there was an increased risk for elevated BMI and childhood overweight later in life at age 7 to 9 years in one of the cohorts
2025;135(21):e194743
If you develop a bruise, avoid injecting in that spot with your next injection
Weight loss may be slow: While some patients lose a few pounds of water weight or inflammation in the first few weeks, significant, rapid fat loss usually does not occur until you step up to higher therapeutic doses (such as 0.5 mg, 1.0 mg, or higher, depending on your doctors plan)
Plaintiffs have requested a Multicounty designation (MCL) to coordinate all these claims
If you fall into any of these categories, your provider should proactively monitor your body composition and nutrition
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