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Semaglutide can worsen diabetic eye disease (retinopathy), and in very rare cases it has been linked to sudden vision loss from a condition called non-arteritic anterior ischemic optic neuropathy (NAION)

For pure results, tirzepatide often delivers greater average weight loss and stronger blood sugar improvement compared with semaglutide in head to head studies, yet some people respond incredibly well to semaglutide, so the choice usually comes down to how much weight needs to be lost, how aggressive the treatment should be, the impact on A1C, and how the body tolerates dose increases, and ongoing follow ups with a clinician help fine tune which drug and dose give the best outcome

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The simple fact is that the contemporary environment is one that is heavily weighted toward the obesogenic