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However, with modern alternatives entering the scene, its time to reassess whether metformin still deserves its first-line status in 2026

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The starting dose of 1.5 mg is anticipated to cost $149 per month out of pocket but could be lower, depending on a persons insurance

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And that came from a recent trial that was published in the New England Journal of Medicine

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Gradual escalation allows physiological adaptation to each dose level before increasing

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