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Contact your doctor if you experience severe fatigue, especially with symptoms of hypoglycemia, dehydration, persistent vomiting, or inability to perform daily activities, as dose adjustment or further evaluation may be needed

Additionally, combined with metformin, medication such as Topiramate, Zonisamide, and Valproic Acid may increase the risk of lactic acidosis

Focus on Nutrition Maintain a balanced diet rich in essential nutrients for fetal development

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