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The problem is that the manufacturer knew about the risks of semaglutide but failed to disclose them to consumers

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In the LEADER (liraglutide) and SUSTAIN-6 (semaglutide) trials [2, 3], the GLP-1RAs rapidly and greatly decreased HbA 1c levels compared to placebo, which may have partly contributed to the increased incidence of diabetic retinopathy complications observed in SUSTAIN-6 (HR: 1.76 [95% CI 1.11, 2.78])

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While sublingual preparations contain very low doses (50100 mg), oral suspensions and solutions have a foul sulfurous taste and need to be freshly prepared