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Misdiagnosis is not uncommon (129) with consequent ED discharge with a non-specific diagnosis and consequent diagnostic delay, quantified in 2.5 years (130)

An additional 80 l of medium was added (180 l total), and miniplates were loaded into a calibrated Seahorse XF HS Mini Analyzer (Agilent)

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In humans, intravenous administration of metformin results in rapid renal elimination, with little or no metformin detectable in the faeces [10], consistent with negligible biliary or GI secretion of metformin

Adverse Effects: Possible side effects include injection site reactions, mild gastrointestinal discomfort, or allergic reactions