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With increasing frequency over the past few years, optometrists across the country have gotten referrals from internists requesting baseline diabetic retinopathy (DR) screenings for patients about to start therapy with one of the glucagon-like peptide-1 (GLP-1)/glucose-dependent insulinotropic polypeptide (GIP) receptor agonists such as semaglutide (Ozempic, Novo Nordisk), tirzepatide (Mounjaro, Eli Lilly) and dulaglutide (Trulicity, Eli Lilly

Before starting any treatment, we assess individual needs, often requiring a preliminary blood test to determine current B12 levels

Oral semaglutide Semaglutide oral is the first oral arGLP-1

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These autoimmune diseases cause oxidative stress and deplete glutathione levels, leading to inflammation and cellular damage