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Patients with a history of diabetic retinopathy should be monitored by an ophthalmologist during semaglutide treatment

Interactions can amplify side effects or alter how your meds work

If your mood changes noticeably after starting semaglutide or increasing your dose, that is important information your provider needs to help decide whether to adjust your treatment or look for other support

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I look for patients who are willing to improve diet quality, walk more, lift weights to protect muscle (nothing too heavy, just enough to keep in shape), drink enough water, sleep better, and learn how to eat when hunger cues change