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They were one of the first oral medications developed for diabetes and have been a mainstay of diabetes treatment for decades Extended-release metformin is actually available in three brand-name drugs, all of which now have generic alternatives: Glumetza, Fortamet, and Glucophage XR. The below table has been updated to reflect the current statuses of these products 1. When scrubbing, prevent the switch from getting wet to avoid leakage.. Increased risk for urinary tract infections and genital yeast infections. However, no herb is a proven alternative to metformin. If you’re deciding whether to use metformin vs berberine to lower blood sugar, it may be good to perform a comparison here. Matta has no plans to award scholarships annually to TCMD students and then start earlier, start in high school, I enrolled in a dental assistant program in Chicago. Side effects of taking an SGLT-2 inhibitor may include: More frequent urination. 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