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In this complex scenario, the concomitant presence of obesity further increases insulin resistance and exacerbates the clinical presentation of PCOS
At the same time, employers must navigate rising pharmacy costs, utilization growth, and questions surrounding long-term adherence
It has been postulated that the rapid reduction in blood glucose levels triggered by GLP-1 RAs leads to a hypoxic state of the retina that promotes further abnormal angiogenesis, Reut Shor , MD , of the department of ophthalmology and vision sciences at the University of Toronto, and colleagues wrote
Moreover, the percentage of participants in clinical trials who stopped the treatment due to AE was 515% with most of the new agents, and this percentage was up to 2030% with some of GLP-1/glucagon RA in phase 2 trials so a considerable proportion of people may not be able to tolerate the new obesity pharmacotherapies or may be unable to titrate them to the higher and most effective doses
Still, high doses can act as prooxidants, meaning they might generate reactive oxygen species under certain conditions
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