Metformin is a drug that has been used for decades to treat type 2 diabetes and has been prescribed to millions of patients worldwide.

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The FDA has issued warnings regarding the safety of metformin due to the presence of NDMA, a potential carcinogen, in some versions of the drug.

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Metformin can cause side effects such as gastrointestinal issues, vitamin B12 deficiency, and lactic acidosis in rare cases.

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Recent studies have shown that metformin may not be effective for all patients with type 2 diabetes, and some may require other medications or treatment plans to control their blood sugar levels.

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Doctors may also consider other factors, such as a patient's age, overall health, and other medical conditions, when deciding whether to prescribe metformin or not.

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Alternative medications for type 2 diabetes include sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, and GLP-1 receptor agonists.

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Lifestyle changes such as diet and exercise can also be effective in managing type 2 diabetes and may be recommended in addition to medication or as an alternative.

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Patients should always consult with their doctors before starting or stopping any medication and report any side effects they experience.

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Regular monitoring of blood sugar levels and other health indicators is important for patients with type 2 diabetes to ensure that their treatment plan is effective and safe.

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The decision to prescribe metformin or any medication for type 2 diabetes is complex and should be based on a thorough assessment of the patient's individual needs.

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