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A potentially life-threatening complication, metformin-associated lactic acidosis, is a remarkably infrequent event. Suicidal individuals, or those diagnosed with type II diabetes mellitus (DM) who have taken an overdose of metformin, often manifest this condition. In this presentation, we showcase a 43-year-old male patient, afflicted with type II diabetes mellitus and dependent on oral opium. The suicide atte