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Instead, he advised baseline retinal examinations in patients with diabetes before initiating therapy and closer monitoring for those with severe NPDR or proliferative DR during periods of rapid glycemic improvement (Figure 3)

As schedules, doses, and side effects accumulate, tracking becomes noisy: cravings appear at medication troughs, protein intake declines, and mild GI symptoms escalate into skipped doses

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The honest answer is that it depends entirely on your individual risk factors, priorities, and health history