Can you take januvia and metformin together
Brand name: Metformin
In adults, metformin can be used alone or in combination with other oral antidiabetic agents
Glucophage, Riomet, Glumetza
Availability: Prescription needed
Pregnancy: No known risks
Alcohol: It is worth consulting a doctor
Side Effects: Abdominal Or Stomach Discomfort, Behavior Change Similar To Being Drunk, Depression
Interactions: Synthroid (levothyroxine), Lantus (insulin Glargine), Lasix (furosemide)
For informational purposes only. Consult your local medical authority for advice.
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Charl Van Zyl (Cape Town, South Africa), executive vice president, patient care and behavioral covariates. Designing and implementing proper stroke systems of care is currently ongoing across 88 global sites and has been determined to continue research using diverse patient groups and larger sample sizes.
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Does metformin cause kidney damage
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Adrian is a Co-Founder of Accreto Solutions. He works with advisory firms to find high level strategic solutions for their growth plans, including acquisitions and senior team moves…
His client base spans management, strategic and specialist consultancies, financial advisors and operational turnaround specialists.
Prior to forming Accreto Solutions, Adrian was a founding partner of Riverhouse Solutions. He has spent more than 20 years working with clients who have been pioneers in both developed and emerging markets. This experience has ingrained in him a creative and proactive approach to helping clients grow their businesses and explains his tenacious style.
He still maintains a professional interest in emerging markets. Building on an extensive professional network in many emerging and frontier markets, Adrian has advised banks, funds and advisory firms on how best to position themselves within these often complex and developing markets. He holds a BA in Business Studies from Brunel University and speaks fluent French and Spanish.
As a Co-Founder of Accreto Solutions, Dominic works closely with advisory firms looking to strengthen existing businesses as well as with new entrants to the market…
These firms operate across management and strategic consultancy, financial advisory and asset management. Increasingly, this includes issues and opportunities around ESG.
After 20 years of advising clients on senior hires and key team builds, Dominic takes a strategic, business solution-driven approach to search. This approach is essential in partnering with Accreto Solutions’ clients on business acquisitions and on building effective platforms from scratch.
Dominic’s prior search career was spent primarily focusing on investment banks’ pan-European markets platforms across all asset classes, where he was involved in multiple team build-outs on behalf of global banks. He holds a BSc from the London School of Economics in Political Science.
ACQUISITION TARGETS AND TEAM IDENTIFICATION
To assist a major financial institution in adding additional advisory services to its European-centric M&A business. Areas considered were M&A, debt restructuring, debt advisory and equity advisory. Whilst an acquisition was preferred, we were also asked to look at potential team hires without onerous non-compete clauses in their contracts.
Extensive research and due diligence were required to advise our client on which advisory services would provide the best ROE. Since some advisory services are highly cyclical, we also wanted to ensure our client wasn’t overpaying for an impressive ROE that was performing at its peak or underpaying for modest returns that could shortly take off. Furthermore, it was necessary to ensure a good cultural fit and the long-term benefit from the acquisition for both parties. As this project took place over the 2016 European referendum, we also had to analyse the positive and negative impacts this might have.
We conducted a thorough mapping of the potential acquisition opportunities where we felt there was sufficient upside to warrant an acquisition. We also looked at teams whose contracts were domiciled in jurisdictions where non-compete clauses were not relevant. We shortlisted five institutions, covering three different advisory services. These were extensively referenced in a confidential manner leading the client to reduce this list to two.
US STRATEGIC ACQUISITION
A US client wanted to expand their strategic consultancy offering to include dedicated coverage of the UK and Continental Europe.
Strategic consultancies come in many forms. Although the brief was to identify businesses of an appropriate size that had the experience and knowledge-base to operate with Global 1000 companies, our challenge was finding consultancies whose culture could match the entrepreneurial and creative demands of our client. We also needed to ensure that the target consultancies’ expertise wasn’t restricted to one or two sectors and that the advice they offered related to major strategic changes or challenges. They would also have to be able to operate within a very team-orientated culture where service divisions are actively encouraged to leverage their combined knowledge and experience.
As our US-based client had limited availability for meetings with target companies, we had to ensure that every target on the shortlist both fitted the brief and was motivated to engage.
Through extensive conversations with target companies and cross-referring our information, we identified a very select shortlist. This enabled the client to focus quickly on the most suitable targets, leading to successful completion of the acquisition within 6 months of the initial engagement.