Endocrine Reviews
The melatonin guidance about long-term use and medication interactions comes from Mayo Clinic and applies to all melatonin supplements
Cell (2017) 168:96076
Women Are More Likely Than Men to Have GLP-1 Side Effects Women may be more likely than men to have the gastrointestinal side effects most associated with GLP-1 medications, especially nausea, vomiting, and diarrhea
Here is a list of potential side effects associated with metformin: Nausea Vomiting Diarrhea Abdominal discomfort or cramping Loss of appetite Lactic acidosis (a rare but serious side effect): weakness, unusual muscle pain, trouble breathing, dizziness, lightheadedness, fast or slow heart rate Vitamin B12 deficiency with long-term use Metallic taste in the mouth Hypoglycemia (low blood sugar), especially when used with other diabetes medications Skin reactions: rash, itching, redness Changes in taste perception Respiratory issues: shortness of breath Liver problems: elevated liver enzymes Individual reactions to metformin can vary, and not everyone will experience these side effects
The amount lost is typically negligible, but proper technique prevents it entirely