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For minor outpatient procedures performed under local anesthesia with minimal physiological stress and no contrast exposure, some clinicians may not discontinue metformin, though this should be determined on a case-by-case basis

This patient-tailored strategy should balance dose tolerability with the achievement of optimal weight loss outcomes [64]

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Practical Management Strategies and Provider Monitoring During Side Effect Onset Proactive management during the first 8 weeks improves side effect tolerability