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For the first time in my life, I’ve been trying to consciously address this 20-year pattern with my therapist: stress that leads to exhaustion that then leads to eating whole pizzas and sometimes more, despite feeling full or even sick

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Notes: metformin can result in due to its effect to block gluconeogenesis, which can impair the hepatic metabolism of lactic acid lactic acidosis Considered a “ (hypoglycemia does not occur) euglycemic ” Figure 3