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Caution and close monitoring are warranted in individuals with preexisting diabetic retinopathy, due to a higher incidence of retinopathy-related complications observed in clinical trials, particularly with semaglutide ( 4 Cardiovascular results 4.1 Evidence of SGLT2 inhibitors in patients with DM2 The management of DM requires a long-term perspective, emphasizing the importance of medication safety over time

Lilly also claims some of the sites are selling formulations of the drugs that haven't been studied, such as oral tablets and drops