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It belongs to the biguanide class of drugs and works by reducing glucose production in the liver, improving insulin sensitivity in the body, and decreasing intestinal absorption of glucose

Common compatible needle brands include NovoFine, BD Ultra-Fine, and others designed for pen injectors

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New or worsening symptoms: The emergence of new or worsening diabetes symptoms may prompt a reassessment of your medication regimen to ensure optimal management

Factors that can contribute to GERD include: Obesity : Excess weight can increase the pressure on the stomach, forcing acid back up into the esophagus