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It's believed that ceramide 1 plays a "binding role" in the lipid layers of the extracellular matrix

The latest diabetic retinopathy preferred practice guidelines from the American Academy of Ophthalmology indicate that the rising use of GLP-1RAs may lead to quick glycemic control and severe hypoglycemia and has been reported to cause higher rates of retinopathy complications, especially in patients with early-stage DR (Lim et al., 2025)

Then, corrective measures in terms of diet and exercise patterns are put in place in good time

Periyasamy-Thandavan et al., 2008

Your prescriber is the right person to confirm what fits your specific situation