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contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast lactic acidosis metformin iv contrast 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