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add-on treatment Metformin Metformin, which is used as a treatment for type 2 diabetes and prediabetes, helps your body use sugar more effectively and decrease appetite

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Nausea and vomiting are the most common problems, and they often show up in the first few days to weeks

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Begin with a small amount of fibre supplement (perhaps one-quarter to one-half of the recommended dose) and increase slowly over two to four weeks