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They may recommend adjusting your dose or checking for other causes of fatigue

Metformin suppresses hepatic gluconeogenesis and lowers fasting blood glucose levels through reactive nitrogen species in mice.Diabetologia,531472-1481 7.Collins L, Costello RA

Una carenza di carnitina pu compromettere questo processo, con conseguenti sintomi quali stanchezza cronica, debolezza muscolare e, nei casi pi gravi, disfunzioni cardiache (come la cardiomiopatia), e problemi neurologici