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[16] [19] Subsequent analysis of SUSTAIN-6 data revealed that the increased risk was concentrated among patients who entered the trial with pre-existing diabetic retinopathy and experienced rapid improvements in glycemic control

[15] Lipoic acid serves as co-factor to the acetoin dehydrogenase complex catalyzing the conversion of acetoin (3-hydroxy-2-butanone) to acetaldehyde and acetyl coenzyme A

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While gastrointestinal symptoms like nausea and abdominal discomfort are common with semaglutide, the symptoms described above are not typical medication effects and warrant immediate medical evaluation

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