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Rarely, metformin can cause lactic acidosis, a serious condition with symptoms like muscle pain, breathing difficulties, and severe fatigue

New symptoms warranting prompt medical evaluation include unexplained rashes, new joint pain patterns, unexpected changes in thyroid function, neurological symptoms (numbness, tingling, vision changes), unexplained cytopenias on blood work, and any symptom suggesting an autoimmune condition they have not previously been diagnosed with

BPC-157 appears to restore inflammatory balance rather than eliminating it entirely