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Rapid improvement in glucose control has been associated with a temporary worsening of diabetic retinopathy

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A comprehensive assessment of current digestive function, including any persistent diarrhoea, fat malabsorption, or abdominal discomfort, should inform the decision to prescribe

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Plus, a lowered desire for food also leads to consuming less calories

Any changes in libido are likely indirect, resulting from weight loss, hormonal shifts, metabolic improvements, or psychological factors rather than direct drug effects on sexual physiology