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Contraindications Synjardy is contraindicated in people with: a history of serious hypersensitivity reaction to empagliflozin, metformin, or any other component of Synjardy acute or chronic metabolic acidosis, including diabetic ketoacidosis moderate to severe renal impairment (eGFR less than 30 mL/min/1.73 m 2 ), end-stage renal disease, or those who are on dialysis Storage Synjardy should be stored at room temperature (77 o F/25 o C)

And in weight management, consistency over months and years is what produces lasting results

Sources Zielinski, C., Mele, F., Aschenbrenner, D

Some clients come in weekly at first, then transition to monthly sessions for maintenance