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Specifically, metformin works to reduce production of glucose by the liver, decrease absorption of glucose by the gastrointestinal tract, and increase target cell insulin sensitivity. Specifically, metformin works to reduce production of glucose by the liver, decrease absorption of glucose by the gastrointestinal tract, and increase target cell insulin sensitivity. District Court for the District of New Jersey — Case Number 2:20-cv-04329. District Court for the District of New Jersey — Case Number 2:20-cv-04329. If you miss a dose of metformin, skip the missed dose and take the next dose at the usual time. If you miss a dose of metformin, skip the missed dose and take the next dose at the usual time. High fever too much sweating or vomiting may cause loss of too much body water (dehydration) and increase your risk of lactic acidosis. High fever too much sweating or vomiting may cause loss of too much body water (dehydration) and increase your risk of lactic acidosis. 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