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Contact your healthcare provider within 24-48 hours if: Blurry vision persists beyond 8 weeks of stable metformin therapy Vision changes worsen progressively rather than improving You experience vision disturbances along with symptoms of hypoglycemia (shakiness, sweating, confusion) or hyperglycemia (excessive thirst, frequent urination, fatigue) You have difficulty performing daily activities due to vision changes Your healthcare provider can assess whether vision changes are related to glucose fluctuations, medication effects, or underlying diabetic eye disease

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Liver Disease or Cirrhosis: Swelling of the liver leads to increased pressure in the portal vein, leading to edema