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And if you have questions or problems with any drug, call your local poison control center at 1-800-222-1222

ABC News' Katie Kindelan and Nicole Wetsman contributed to this report.

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Adding keto to this pair can produce excellent blood sugar control and weight loss, but it also increases the risk of lactic acidosis (rare but serious with metformin) and hypoglycemia (low blood sugar) because three separate mechanisms are all working to lower blood glucose simultaneously

Commissioner Makarys public comments surrounding the FDAs recent enforcement actions reflect the broader regulatory posture that likely helped drive this outcome

Teaching patients to spot early signs of serious side effects is crucial