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Because some people are asymptomatic or their symptoms can be similar to other nutritional deficiencies, a B12 deficiency may be hard to detect

What do I need to tell my doctor BEFORE I take this drug

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Quick improvements in blood sugar can trigger temporary worsening of diabetic retinopathy Changes in blood flow to your optic nerve may increase risk for certain conditions Fluid shifts can temporarily blur your vision as your eyes adjust to better glucose control Pre-existing damage to retinal blood vessels may progress more quickly during early treatment Several GLP-1 receptor agonists are currently prescribed for diabetes and weight management

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Mah E, Pei R, Guo Y, Ballard KD, Barker T, Rogers VE, et al