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This is a legal and regulated practice, but it's important to understand the distinction between FDA-approved drugs and compounded alternatives

Diabetic retinopathy: In people with diabetes, rapid improvements in glycaemic control with GLP-1 receptor agonists may be associated with temporary worsening of diabetic retinopathy

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Its not known if Januvia causes cancer

Monitor renal function in patients at risk for renal insufficiency

If you prefer pills over injections, struggle more with food cravings and emotional eating, or need a lower-cost starting point, Contrave may be the better fit
