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Metbay 500 Tablet

Bayer Pharmaceuticals Pvt Ltd

Composition for Metbay 500 Tablet

Prescription Required

Primary uses of Metbay 500 Tablet

Potentiallyunsafewith
Alcohol
MRP
17.95
₹1.79/Tablet
10 tablets in 1 strip
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Medicine Overview of Metbay Tablet

Uses of Metbay Tablet

Metbay 500 Tablet is used in the treatment of type 2 diabetes. It is used in addition to diet and exercise to improve blood sugar control in adults with type 2 diabetes.

Metbay Tablet side effects

Common

Side Effects of Metbay are Nausea, Vomiting, Taste change, Diarrhoea, Abdominal pain, Loss of appetite.

How to use Metbay Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Metbay 500 Tablet is to be taken with food.

How Metbay Tablet works

Metformin is an anti-diabetic medication (biguanide). It works by lowering glucose production in the liver, delaying sugar (glucose) absorption from intestines and increasing the body's sensitivity to insulin.

In Depth Information on Metbay Tablet

Expert advice for Metbay Tablet

  • Your doctor will monitor your blood sugar levels and kidney functions regularly while taking this medication.
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Metbay Tablet related warnings
Special precautions for Metbay Tablet
Alcohol
CAUTION
Taking metformin with alcohol can cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, sleepiness, stomach upset, or other unusual symptoms.
Pregnancy
PROBABLY SAFE
Metbay 500 Tablet is probably safe to use during pregnancy.
Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.
Lactation
Metbay 500 Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Driving
Your ability to drive may be affected if your blood sugar is low or high. If this happens, do not drive.
Kidney
CAUTION
Metbay 500 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Metbay 500 Tablet may be needed. Please consult your doctor.
Use of Metbay 500 Tablet is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.
Liver
CAUTION
Metbay 500 Tablet should be used with caution in patients with liver disease. Dose adjustment of Metbay 500 Tablet may be needed. Please consult your doctor.
Metbay 500 Tablet is generally started with low dose in patients with mild to moderate liver disease and its use is not recommended in patients with severe liver disease.

What if you miss a dose of Metbay Tablet?uses

If you miss a dose of Metbay 500 Tablet, skip it and continue with your normal schedule. Do not double the dose.

Patient Concerns

User Submitted Feedback For Metbay 500 Tablet

Survey Participants: 3
Disclaimer
“The following are the results of on-going survey on 1mg.com for Metbay 500 Tablet. These results only indicate the perceptions of the website users. Please base your medical decisions only on the advice of a doctor or a registered medical professional.”

Frequently asked questions about Metbay Tablet

Frequently asked questions about Metformin

Q. Is Metbay helpful in patients with polycystic ovarian syndrome (PCOS)?
Yes. Metbay is helpful in patients with PCOS. It may be used along with other medicines to induce ovulation and regularize menstrual cycles. It also delays the development of type 2 diabetes if you already have prediabetes and aids in weight loss if you follow a diet and exercise program.
Q. How does Metbay help in weight loss?
Metbay helps in weight loss by decreasing hunger (appetite) and hence food intake. It makes the insulin already available in your body to work more effectively. This leads to decrease glucose production, increase glucose use and decreased fat deposits which further helps to lower body weight. However, it is not yet approved for weight loss, this is an off-label use.
Q. Is Metbay useful in the treatment of infertility?
Metbay is commonly used off-label for the treatment of infertility associated with polycystic ovary syndrome (PCOS). It regulates ovulation and androgen levels in the body and improves menstrual regularity and pregnancy rates and outcomes. This beneficial effect is thought to be due to improvement in insulin resistance by Metbay.
Q. Does Metbay cause low blood sugar levels (hypoglycemia)?
Metbay can lower blood sugar level (hypoglycemia). It happens more often if you delay or miss your food, do more than your routine exercise, drink alcohol or take other antidiabetic medicine along with. So, regular monitoring of blood sugar level is important and be cautious of symptoms of hypoglycemia and always keep glucose tablets, honey or fruit juice with you.
Q. Can I take Metbay forever?
Metbay is generally a safe and well-tolerated drug even on long-term use. However, its long-term use can cause vitamin B12 deficiency leading to anemia and peripheral neuropathy (nerve damage). so, it should be taken only at prescribed doses for the duration as advised by the doctor.
Q. Is Metbay a sulfonylurea?
No, Metbay is not a sulfonylurea. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.
Q. Is Metbay a steroid?
No, Metbay is not a steroid. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modifications in diet and exercise.
Q. Does Metbay cause bloating?
Metbay commonly causes stomach upset like bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea. To avoid these side effects, it is advised to be taken after meals, preferably started at a low dose and then increased slowly over weeks, or by using slow-release tablets.
Q. Is Metbay good for fatty liver?
Metbay is seen to be beneficial in the treatment of non-alcoholic fatty liver disease (NAFLD). One of the underlying cause of NAFLD is insulin resistance. Metbay improves insulin resistance and liver enzymes in these patients. It is not seen to benefit patients of alcoholic fatty liver disease and is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis.
Q. What is the benefit of combining Metbay with coenzyme q10?
Coenzyme Q10 is an antioxidant that helps in energy production and is found in heart, liver, kidney, and pancreas (which produces insulin). It can repair the damage caused to these organs by free radicals. Low levels of CoQ10 are seen in patients with diabetes. So, some researchers suggest it be given from outside. It can be taken with Metbay as no drug-drug interactions or harmful effects have been seen between the two.
Q. Does Metbay help in improving your menstrual cycle (periods)?
Yes, Metbay does improve menstrual cycle (periods) regularity in women with polycystic ovarian syndrome (PCOS). It is associated with insulin resistance, decreased ovulation, and high androgen levels which cause menstrual irregularities like delayed periods and scanty bleeding. Metbay helps in regularizing menstrual cycles by improving insulin sensitivity, ovulation rate, and decreasing androgen levels.
Q. Can I take Metbay with atorvastatin?
Yes, Metbay can be taken with atorvastatin. There are no reported harmful effects when they are used together. Rather some studies suggest beneficial effects in diabetics as they may prevent a very high increase in blood glucose after food, decrease some inflammation markers and protect the patients from liver injury.
Q. Can I take Metbay with phentermine?
Metbay can be taken with phentermine. These are sometimes given together in obese patients who are also diabetic and are taking Metbay along with exercise and diet modification. Phentermine decreases food intake by its action in the brain. However, phentermine can decrease the effect of Metbay leading to very high blood glucose levels. So, a dose adjustment of Metbay may be needed.
Q. Can I take Metbay with levothyroxine?
Metbay can be taken with levothyroxine but the dose of Metbay may need to be adjusted. Levothyroxine can decrease the effect of Metbay leading to very high blood glucose levels. These are used together in patients with coexisting thyroid disease and diabetes mellitus or polycystic ovarian syndrome (PCOS).
Q. Can I take Metbay with prednisolone?
Metbay can be taken with prednisolone but the dose of Metbay may need to be adjusted. Prednisolone can decrease the effect of Metbay leading to very high blood glucose levels. Continuous use of steroids like prednisolone can also cause diabetes known as glucocorticoid-induced diabetes and use of Metbay is recommended in these patients.
Q. Can I take Metbay with metoprolol?
Metbay can be taken with metoprolol. There are no reported drug interactions or harmful effects in humans when they are used together. However, some animal studies suggest that metoprolol can decrease the blood levels of Metbay and on long-term use can increase lactic acid and uric acid levels.
Q. Does Metbay clear acne?
Metbay is not indicated for clearing acne due to just any condition. It only helps in clearing acne in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, abdominal obesity, and irregular menstruation.
Q. Does Metbay cause hair loss?
No, hair loss has not been reported with Metbay. It only helps in clearing facial hair (hirsutism) in women with polycystic ovarian syndrome (PCOS) along with other problems like acne, abdominal obesity, and irregular menstruation.
Q. Does Metbay cause weight gain?
No, weight gain has not been reported with Metbay. Rather it helps in decreasing weight especially abdominal fat patients of type 2 diabetes mellitus and in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, acne, and irregular menstruation.
Q. Does Metbay cause constipation?
Metbay is not known to cause constipation. Some common side effects associated with the use of Metbay includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.
Q. Is Metbay safe?
Metbay is a safe and well-tolerated drug even on long-term use when taken strictly as advised by the doctor. However, there are some very common side effects like nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite you may experience even at therapeutic doses.
Q. Does Metbay increase blood pressure?
Metbay is not known to increase blood pressure. Some common side effects associated with the use of Metbay includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.
Q. Is Metbay an insulin?
No, Metbay is not an insulin. Metbay is an oral drug used in type 2 diabetes mellitus and lowers blood glucose levels by decreasing its production and increasing absorption and making the already available insulin in your body to work better. Insulin is a normally produced hormone in the body, used in the injectable form in the treatment of both type 1 and 2 diabetes mellitus and it works by absorbing and storing glucose from the blood.
Q. Is Metbay a banned drug?
No, Metbay is not a banned drug. It is a prescription medicine and is available when prescribed by registered medical practitioner.
Q. Is Metbay a birth control pill?
No, Metbay is not a birth control pill. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.
Q. Is Metbay a statin?
No, Metbay is not a statin. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.
Q. Can I take Metbay with saxagliptin?
Both Metbay and saxagliptin are anti diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Metbay is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.
Q. Does Metbay cause blurry vision?
Metbay is not known to cause blurred vision. Change in vision in a patient with diabetes could be due to multiple reasons. It could be a temporary problem either due to high blood sugar levels which cause your lens inside your eye to swell and change your vision. If the blurred vision continues for a long time, consult a doctor.
Q. What is lactic acidosis and how is it related to Metbay use?
Lactic acidosis is a rare, but serious complication associated with the use of Metbay. Patient has high blood lactic acid levels and may present with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is especially seen in old age patients, those with kidney, liver or heart disease, or who take large amounts of alcohol. If you have these symptoms, stop taking Metbay and consult your doctor.
Q. Is Metbay use associated with liver pain?
Metbay is not known to cause any liver pain or damage. Rather, it is seen to be useful in patients with non-alcoholic fatty liver disease (NAFLD) and chronic hepatitis C. However, it is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis which is a serious complication associated with the use of Metbay.
Q. Does Metbay make you feel high?
No, Metbay does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Metbay include anxiety and depression.
Q. Can Metbay cause back pain?
Usually, Metbay is not associated with back pain. However, it can be a presentation of stomach upset, a common side effect caused by Metbay which includes bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea, or it could be a symptom of lactic acidosis, a rare and a serious complication of Metbay.
Q. Can long-term use of Metbay cause vitamin b12 deficiency?
Yes, Metbay causes vitamin B12 deficiency on long-term use as it interferes with absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid these problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.
Q. Is Metbay useful in the management of metabolic syndrome?
Yes, Metbay is seen to be useful in the management of metabolic syndrome, a collection of risk factors that include high blood pressure, high blood sugar levels, abnormal blood cholesterol levels and excess fat around the waist. Metbay is an insulin sensitizer and it improves the action of insulin and normalises blood sugar levels and reduces body weight.
Q. How beneficial is it to take Metbay with glimepiride?
Both Metbay and glimepiride are anti diabetic drugs and can be used together. They work by different mechanisms and can control the blood sugar levels in a much better way when used together as compared to either drug taken alone. However, glimepiride can cause very low blood glucose levels, so a regular monitoring of blood glucose is very important.
Q. Is it safe to take Metbay with cetirizine?
Yes, Metbay can be taken with cetirizine. There are no reported drug interactions or harmful effects when they are used together.
Q. Can I take Metbay and ranitidine together?
Metbay can be taken with ranitidine. However, if you are taking them together, you need to monitor blood glucose levels regularly as ranitidine can decrease the removal of Metbay from the body and increase its blood levels. This can cause very low blood sugar levels and other side effects as well and the dose of Metbay may need adjustment.
Q. How beneficial is it to take Metbay with linagliptin?
Both Metbay and linagliptin are anti-diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Metbay is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.
Q. Does Metbay inhibit hepatitis B virus protein?
Yes, some research studies have shown that Metbay can decrease the multiplication and growth of hepatitis B virus when given along with other antiviral drugs. However, this is indication is still under research and not yet approved.
Q. Can I take Metbay before or after a chest x-ray? Does its use lead to chest x-ray abnormality?
Metbay should be temporarily discontinued before chest or any X-ray that requires injection of a contrast medium or dye. These dyes can decrease kidney function and Metbay along with these dyes can cause a serious side effect like lactic acidosis. So you may need to stop taking Metbay. However, do not stop taking any medicine without talking to your doctor.
Q. Does Metbay make you sleepy?
Metbay can cause sleepiness which could be an early symptom of lactic acidosis along with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is a serious condition caused by Metbay seen in old age patients, those with kidney, liver or heart disease, or those who take large amounts of alcohol. If you have these symptoms, stop taking Metbay and consult your doctor.
Q. Does the use of Metbay cause joint pain?
Use of Metbay is not associated with joint pain. However, diabetes itself decreases blood circulation to the joints and even damages them leading to joint pain. Use of anti-diabetic drugs like sitagliptin or saxagliptin is also associated with joint pain. Early symptoms of lactic acidosis like muscle pain and cramps with weakness and tiredness can be mistaken for joint pain.
Q. Can Metbay help in reducing weight gain caused by antipsychotics?
Metbay may be of help in the treatment and prevention of weight gain caused by antipsychotics along with lifestyle modifications like a change in diet and regular exercise. Weight gain is an important reason for discontinuation of these medicines. Metbay improves insulin sensitivity and prevents weight gain, both of these factors are affected by the use of antipsychotics.
Q. Is Metbay useful in the treatment of fragile X syndrome?
Metbay has shown promising results in some animal research studies in the treatment of fragile X syndrome. It may help in improving mental and behavioral disorders (autism) and control obesity and risk of developing diabetes in these patients. But these results are very preliminary and it is still not approved for the treatment of fragile X syndrome.
Q. What is the difference between liraglutide and Metbay?
Metbay and liraglutide are antidiabetic drugs and both control blood sugar levels effectively. Metbay is taken by oral route and it decreases glucose production from liver and glucose absorption from the gut and increases insulin sensitivity. While liraglutide is an injectable and it increases insulin release from the pancreas. Both cause stomach upset, like nausea, vomiting, diarrhea and bloating while liraglutide also increases the risk of pancreatitis.
Q. Does Metbay use make you feel high?
No, Metbay does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Metbay include anxiety and depression.
Q. Does Metbay make you sweat?
Yes, sweating is one of the known side effects of Metbay. The exact cause of this is not known. Some researchers suggest it to be due to low blood sugar levels especially at night which can cause night sweats as well. Monitor your blood sugar levels regularly and talk to your doctor as your dose of Metbay may need to be adjusted.
Q. Can I take Metbay with clomiphene citrate?
Metbay can be taken with clomiphene citrate. They are advised together in patients with infertility along with polycystic ovarian syndrome (PCOS). Clinical studies have shown an improvement in ovulation and pregnancy rates in these patients as compared to use of clomiphene citrate alone or if the patients are resistant to the effects of clomiphene citrate. However, this is still under research.
Q. Is Metbay useful in treating or preventing breast cancer?
Metbay is seen to be useful in the treatment and prevention of cancers especially breast cancer in research studies. As high insulin levels are known to increase the risk of cancer, Metbay decreases cancer cell growth by decreasing insulin and blood glucose levels. However, its use in treating breast cancer is not yet approved.
Q. Does Metbay use increase your chance to get Helicobacter pylori infection?
No, Metbay is not associated with an increased risk of Helicobacter pylori infection. Diabetes itself increases the risk of H.pylori infection which increases the chances of stomach upset like nausea, vomiting, diarrhea, and bloating by Metbay.
Q. Does Metbay use leads to anemia?
Metbay may decrease the levels of vitamin B12 on long term use which may rarely cause a type of anemia in which blood cells are larger than normal (megaloblastic anemia). You may need to take foods rich in vitamin B12 like eggs, dairy products, and meat or a supplement from outside.
Q. Is Metbay useful in the treatment of prediabetes?
Metbay is seen to be useful in the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. Metbay makes the insulin already available in your body to work more effectively, decreases glucose production by liver and increases use of glucose by the muscles and lowers body weight. However, lifestyle modifications like a change in diet and exercise should be tried first as they are seen to be more effective than Metbay.
Q. Can I take Metbay with teneligliptin?
Yes, Metbay can be taken with teneligliptin. It is a good add-on treatment if the blood sugars are very high even after taking Metbay. The risk of low blood sugar levels (hypoglycemia) is also very low with both the medicines. However, consult your doctor before taking them together as a dose adjustment may be needed.

Severely interacts with other drugs like

Taking Metbay with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Metbay with Ketotifen
LIFE-THREATENING
Medicines with composition Ketotifen: Ketorid, Ketasma, Asthafen, Azofen
Metbay with Paroxetine
SERIOUS
Metbay with Triamcinolone
SERIOUS
Medicines with composition Triamcinolone: Darcort, Trilone, Mycort, Presticort-T, Cortina, Trilon, Stancort, Oraways, Triroid, Acort, Pericort, Comcort
Metbay with Dapoxetine
SERIOUS
Medicines with composition Dapoxetine: Actinex, DA Sutra, Stay Tal, Dapoxy, Dapnex, Duraject, Appynite, Dejac
Metbay with Pindolol
SERIOUS
Medicines with composition Pindolol: Visken
Metbay with Beclometasone
SERIOUS
Medicines with composition Beclometasone: Beclate
Metbay with Chlorthalidone
SERIOUS
Medicines with composition Chlorthalidone: Chlornol, Thiovas, Chlorfid, Lupiclor, Klorzid, Clovet, Thaloric, Thiaklor, Zione
SERIOUS
Medicines with composition Loteprednol etabonate: Lotesol, Lotechek, Lotepred, Prednol LS, Lotenase
Metbay with Spironolactone
SERIOUS
Medicines with composition Spironolactone: Aldactone, Spilactone
Metbay with Lafutidine
SERIOUS
Medicines with composition Lafutidine: Lafter, Lafudac, Lafty, Lafukem, Lafaxid, Laciloc, Lafumac, Swiftin
Metbay with Rasagiline
SERIOUS
Medicines with composition Rasagiline: Rasalect, Relgin
Metbay with Octreotide acetate
SERIOUS
Medicines with composition Octreotide acetate: Octotide, Octride, Sandostatin LAR, Octate, Varioct, Actide, Otide, Ferotide, Sandostatin
Metbay with Collagen Peptide
SERIOUS
Medicines with composition Collagen Peptide: Nudiglue-C
SERIOUS
Medicines with composition Nicotinic acid / Niacin: Nicoglow
Metbay with Famotidine
SERIOUS
SERIOUS
Medicines with composition Hydrochlorothiazide: Hyros, Bpzide, Dizide, Xenia, Aquazide, Hydrazide, Thiazide, Hydride
Metbay with Citalopram
SERIOUS
Medicines with composition Citalopram: Olarc, Citopam, Cetadep, Topdep, Celica, Citalomine, Citalent, Citola
Metbay with Pancreatin
SERIOUS
Medicines with composition Pancreatin: Digeplex T, Enzabil, Enzelo, Aflate N, Panstal N, Panzynorm-HS, Farizyme, Lapin, Enzox
Metbay with Clobetasol
SERIOUS
Medicines with composition Clobetasol: Clobex
Metbay with Lactase
SERIOUS
Medicines with composition Lactase: Cry NO
One of the following vendor pharmacies will deliver Metbay 500 Tablet: HBV, BNA, JHC, ALC, NAS, KMC, ANP, HAT, AYN, AGT, PRC, ASP, TOM, UHP, PRN, YMI, BBN, AXM, CMC, BBS, AMH, RAC, MPC, HPC, MAP, TRP, HTS, ZVP, BHS, MKT, 4IT, GNC, DGN, SGH, HGI, NDP, 1MH, BHP, TFP, BNT, BLE, OLT, VHP, GEO, MSD, JVO, RDH, DPL, PVP, CPK, RWP, VSL, RSA, NXG, SBA, AYU, BMJ, CLT, GHR, SSI, HCP, KLC, RGH, UMP, SCH, SYN, LMS, PNT, KHD, AAY, SAF, PRL, MAK, BHA, OHM, RHW, NNH, JSL, QTM, ZPR, EAN, THP, SNG, AVB, NVY, JBT, CHP, MAX, MKS, RDR, SHD, BJP, BTM, NTB, AMR, SVH, LCC, SRG, LHA, JIV, GTC, PRT, WAD, PWN, NTL, JVN, TAT, ATL, ATP, GLD, DPP, ENP, VRS, BAP, STA, BGS, DLP, HZF, WSI, ZEL, ARD, GPP, HIP, AWS, SBL, XMX, HSP, VOP, EMB, HEX, GPT, SMN, SJP, EPS, EQN, KHH, HPP, CRN, VJS, PMA, DZY, VDH, GBL, SWP, INC, BHM, OWP, OBS, RPP, AVS, WPL, SSA, SGC, BIO, VTR, MDO, MBP, AYM, HNP, EEC, ABP, KHC, PTP, SVS, SDE, FGH, BSN, KNH, RUS, RSS, PHC, DHR, TSS, VNS, BLP, AAR, BDI, DHP, DFP, PHN, MDH, ANT, SPD, MLC, PTI, BAL, HMP, SDM, KIS, AVL, DAO, FRM, DVH, DYL, HLT, MAM, SMS, SLN, SNH, VSC, NEO, WHL, RKS, GDA, NVL, ADT, IMC, PPR, IAD, NNP, BDN, APS, LHP, AFT, GMA, JJE, UVD, GTK, RPI, DRA, MMS, 9MM, QLF, BRC, PLT, USF, SHC, STS, DYG, RHL, SWT, HSM, GLM, IPL, ESY, SCP, NSL, OIP, SWA, BLS

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