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    Metformin may rarely cause a serious, life-threatening condition called lactic acidosis. Your doctor will probably tell you not to take metformin. Also, tell your doctor if you are over 65 years old and if you have ever had a heart attack; stroke; diabetic ketoacidosis (blood sugar that is high enough to cause severe symptoms and requires emergency medical treatment); a coma; or heart or liver disease. Taking certain other medications with metformin may increase the risk of lactic acidosis. Tell your doctor if you are taking acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, in Qsymia), or zonisamide (Zonegran). Tell your doctor if you have recently had any of the following conditions, or if you develop them during treatment: serious infection; severe diarrhea, vomiting, or fever; or if you drink much less fluid than usual for any reason. You may have to stop taking metformin until you recover. If you are having surgery, including dental surgery, or any major medical procedure, tell the doctor that you are taking metformin. buy cialis for daily use Realizing that this is an old thread that got revived, if anyone is interested, Metformin can be purchased without a prescription in Thailand and the Philippines. I'm pretty sure there would likely be other countries in Asia that also sell it OTC, but I haven't checked. Metformin is inexpensive and in some areas it’s even free but it does require a prescription in the US. My pharmacy fills a 90 day prescription free but other pharmacies do charge. Still, it’s generally considered an inexpensive drug.

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    The museum is housed in the historic Campo Feldspar Mill which is located within the community of Campo, California. The Mill is a landmark, representing some of the Industry that was once located in historic community of Campo. The museum has been located in the mill since 1987 and has become a home for more than 200 motor transport vehicles. Within the Mill the Motor Transport Museum has a complete auto and fabrication shop where the vehicles are restored and showcased. The Mill is also in the process of restoration with plans for the addition of new showroom. The recent addition of our new Library building on the property shelters a unique collection of archival reference books, manuals and literature. The Mill is located 50 miles east of San Diego on Highway 94 in the township of Campo. In this section, we feature letters written to us with the author's permission. These letters are heartfelt, as are all the letters that we receive. We chose these though to demonstrate that, with help, these affected dogs can live good lives and even long ones. We hope you find their stories helpful and encouraging. Dear Pam, I can't thank you enough for creating Toby's Foundation and for all you do for canine epilepsy awareness and research. When Jimi became ill a friend told us about your website. It became a lifeline of inspiration and information in our journey with Jimi. Our vet really didn't have much experience with epileptic dogs and I conveyed much of what I learned from your website to him to get help for Jimi.

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