Introduction & Objective: In the context effect of metformin in patients with acute coronary syndrome. available evidence supports cardiac effect. Yet. there is doubt about continuation or discontinuation of metformin before major surgery. https://www.bekindtopets.com/super-pick-Rx-Quadruple-Topical-Ointment-Quadritrop-for-Dogs-Cats-30-mL-super-grab/