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If heart failure develops, evaluate and manage according to current standards of care and consider discontinuation of JANUMET

Upregulation of microcirculation system of lens The microcirculation system of the lens provides a promising platform for improving nutrient and antioxidant delivery specifically to the lens nucleus

Theres also a vitamin D and calcium consideration, since GLP-1 drugs can reduce absorption of fat-soluble vitamins

Referral pathways : Persistent hiccups unresponsive to initial management may warrant referral to gastroenterology, neurology, respiratory medicine or ENT depending on suspected underlying causes

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