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However, compounded semaglutide has emerged as an alternative, particularly when FDA-approved options are in short supply

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Singh highlighted two 2025 studies: one found GLP-1 use was associated with a lower incidence of progression to advanced AMD, including neovascular AMD and geographic atrophy, while another reported an increased risk of neovascular AMD among GLP-1 users

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The lack of standardization means that one compounded version may not be equivalent to another, making it challenging to assess their overall effectiveness

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This accelerates lipohypertrophy (fatty tissue buildup at injection sites), which ironically impairs absorption of future injections, creating a self-defeating cycle

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These studies only show a link between vitamin B12 deficiencies and weight gain, Matthew Cowling, D.O., a physical medicine and rehabilitation specialist in Madison, Wisconsin who specializes in weight loss, previously told The Edge

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