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These monitoring requirements do not change when berberine is added, but researchers should be aware that both compounds place metabolic demands on the liver, and periodic liver function testing is prudent during long-term combined use

While most patients with semaglutide-related eye changes do not need surgery, vitrectomy offers sight-saving treatment when severe proliferative diabetic retinopathy causes bleeding or pulling that threatens the macula

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PMID 5425759

And when she's not online, she's usually at Pilates