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MeNAM can be excreted in the urine or is further oxidized into N-methyl-6-pyridone 3-carboxamide (me-6PY or 2PY) or N-methyl-4-pyridone 3-carboxamide (me-4PY or 4PY) 58
Bacteriostatic Preservative: Contains 0.9% benzyl alcohol to inhibit bacterial growth in multi-use laboratory settings
You may notice more appetite and a small, temporary bump in weight or water retention
Its limitation is equally important
This is not a reason to start metformin on its own, but it is a relevant consideration if metformin is already part of the clinical conversation
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