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⚠️ Why Patient-Led Dose Escalation (e.g., 500 mg → 1000 mg) Is Dangerous It might seem tempting for a patient to double their dose if blood sugar levels spike, but arbitrary increases present serious clinical risks: 1️⃣ Lactic Acidosis: Metformin accumulation can overload metabolic pathways, risking severe, potentially fatal lactic acidosis
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