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These relatively subtle differences have been ignored for the purpose of this conceptual review

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The mechanism likely involves rapid shifts in blood glucose levels, fluid changes from reduced eating and medication effects on the gastrointestinal system, or dehydration from inadequate fluid intake during weight loss

2) The data analyzed relied on self-reported data, assuming participants accurately reported dietary intakes and mealtimes

It doesnt need to be complicated

Interestingly, patients on these drugs in both studies actually had fewer severe vision problems from diabetic retinopathy and needed fewer invasive eye treatments than those on other diabetes medicines