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Furthermore, drug-caused hypoglycemia can lead to temporary visual disturbances, including floaters, due to changes in retinal blood flow or temporary retinal ischemia

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Peripheral orexigenic mechanisms The major gastrointestinal hormone with potent orexigenic properties is ghrelin (12) which has been identified in gastric ghrelin X/A cells characterized by large eletrodense granules of P/D type in man and A-like type in rats (13)

Your provider should establish realistic expectations based on your baseline lipid profile