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The people who deserve extra attention usually include: Patients with a known history of diabetic retinopathy Patients with diabetic macular edema Patients with recently worsening retinopathy Patients with poor baseline glucose control who may experience a large A1c drop Patients starting semaglutide while already under retina treatment Patients with multiple high-risk features such as kidney disease, hypertension, or long-standing diabetes In contrast, a patient with type 2 diabetes, no known retinopathy, and a recent normal dilated exam may still need routine follow-upbut often not the same level of concern as someone with active retinal disease

Many clients who have experienced weight loss including those using GLP-1 medications notice changes in skin firmness and facial definition

If you experience nausea (the most common early side effect), we have specific strategies to manage it effectively

Clinicians may consider this when tailoring a prescription plan to individual needs

For potential skin irritation management, see copper peptides and skin reactions