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People with diabetic retinopathy should be monitored, as rapid improvements in blood glucose control have been associated with worsening of this condition
It is unknown whether Ozempic causes thyroid tumors, including medullary thyroid carcinoma (MTC), in humans
Pre-existing gastrointestinal disease, impaired kidney function, dehydration, and advanced age can prolong or worsen side effects
Much of that follows from weight loss itself losing even 5 to 10% of body weight meaningfully improves cholesterol and better blood sugar control helps in people with diabetes, though some of the LDL effect may be partly independent of weight loss
It's important to note that true hypoglycaemia is uncommon with Rybelsus monotherapy but the risk increases when combined with insulin or sulfonylureas
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