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Most participants (39.1%) had been using GLP-1RA for over a year

Patients with longstanding diabetes (over 10 years) or poor prior glycemic control should undergo comprehensive dilated eye examination before starting GLP-1 medications to establish baseline retinal status

This is particularly relevant to differential diagnosis when patients report spotting after weight loss or medication changes

Selenium Selenium is a cofactor of glutathione peroxidase, an antioxidant enzyme active inside of cells that protects our cells from damage by free radicals produced during metabolism

Ammoxetine attenuates diabetic neuropathic pain through inhibiting microglial activation and neuroinflammation in the spinal cord

The IWRS generated the randomization list and assigned patients to the next available treatment according to the randomization schedule