The EMRA offices will be closed for the upcoming holidays from Wednesday, December 24, 2025 until Monday, January 5, 2026.
We apologize for the inconvenience.

Natalie Rech, MD

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Residency: Prisma Health – Greenville Memorial Hospital

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Metformin toxicity causes a profound lactic acidosis and can be concerning in patients with existing kidney impairment.
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