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[14] [15] You should temporarily stop taking metformin during acute illnesses that may cause dehydration (such as severe vomiting, diarrhoea, or fever), before certain procedures, or if you have heavy alcohol intake ('sick-day rules')

What If My Work Schedule Requires Inconsistent Timing

If you find that morning injection kills your appetite to the point where you cannot eat lunch or dinner on injection day, front-load your protein before injecting

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Frequent missed doses may signal barriers to adherencesuch as cost, side effects, or scheduling challengesthat your provider can address