 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.The precautions of Ertugliflozin-Metformin Oral: See also Warning section. Before taking this medication, tell your doctor or pharmacist if you are allergic to ertugliflozin or metformin; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood problems (such as anemia, vitamin B12 deficiency), breathing problems (such as asthma, obstructive lung disease), heart disease (such as heart failure, recent heart attack), kidney disease/failure (dialysis), liver problems, use/abuse of alcohol, dehydration, low blood pressure, yeast infections in the vagina or penis, blocked or narrowed blood vessels, usually in the leg, nerve problems (such as diabetic peripheral neuropathy), foot sores or ulcers, amputation. You may </s>