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With my husband, I was able to explain my fatigue away as exhaustion from a long shift at work (Im a NICU nurse)

[10] Current evidence suggests that the risk of vision problems with GLP-1 medications appears primarily related to rapid glycaemic improvement in patients with pre-existing retinopathy rather than a direct medication effect across all patients

It means your body is tolerating the medication well

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Most gastrointestinal events were mild to moderate in severity and decreased over time as patients developed tolerance