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This is particularly important for patients experiencing gastrointestinal side effects from metformin, which can lead to dehydration and potentially worsen vision symptoms

Diarrhea, another common side effect, can increase the risk of dehydration

10.1152/ajpgi.00183.2002 Am J Physiol Gastrointest Liver Physiol

Vial positioning

Considering the roles of the JAK/STAT signaling pathway and TGF-1 in RA pathogenesis, and given that L-carnitine has been reported to modulate these pathways in other chronic conditions such as cardiovascular, pulmonary, and renal diseases, this study was designed to investigate whether similar effects could be observed in rheumatoid arthritis