Risk is highest in those with established retinopathy, longer diabetes duration, and baseline HbA1c above 9%
They will adjust the dosage and your titration schedule accordingly
Here is the honest version of the protocol table that dosage pages normally fill with confident numbers
it reflects metabolic adjustment
A competent prescriber understands obesity as a disease, the full medication toolkit, the controlled-substance compliance phentermine requires, the side-effect and lean-mass considerations semaglutide brings, and the program-level judgment that decides when to use one, the other, or both in sequence
Agostinho FR, Rus GZ, Stringari RB, Ribeiro KF, Ferraro AK, Benedet J, Rochi N, Scaini G, Streck EL, Quevedo J (2011) Treatment with olanzapine, fluoxetine and olanzapine/fluoxetine alters citrate synthase activity in rat brain