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Alternatives and Stepwise Approaches Some patients ask about other combinations, including phentermine plus topiramate (Qsymia) alongside GLP-1 therapy
Advanced diabetic retinopathy occurs when new abnormal blood vessels develop in the retina that commonly leak fluid or blood (neovascularization)
Berberine and semaglutide are generally considered compatible, but both can cause nausea and diarrhea, potentially worsening gastrointestinal side effects when combined
A comprehensive differential diagnosis should be considered to rule out nondiabetic neuropathies
New England Journal of Medicine, 384(11), 9891002.
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