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In XIGDUO XR-treated patients with a diagnosis or strong suspicion of lactic acidosis, prompt hemodialysis is recommended to correct the acidosis and remove accumulated metformin (metformin HCl is dialyzable, with a clearance of up to 170 mL/min under good hemodynamic conditions)

Routine lipase testing in an asymptomatic person is not a reliable stand-alone screening strategy for pancreatitis

The regulator is concerned about the safety and efficacy of drugs it has no control over

When we look at some of the key sources of whats driving that, its hard for me to create a story where those dynamics will go away and trends will come down, Guerriere said