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Diabetic vascular complications Diabetic vascular complications, particularly microangiopathy, are closely associated with impaired spermatogenesis [248]

Do not double up to "make up" for any perceived potency loss, and do not skip a dose out of caution if the medication passes visual inspection and falls within the approved storage parameters

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The main concern is early worsening of existing diabetic retinopathy when glucose improves quickly, which can lead to permanent damage if untreated

Additionally, some individuals may experience an increased risk of hypoglycemia (low blood sugar) when taking semaglutide, particularly if they are also using insulin or other diabetes medications

Over time, too high sugar in the blood can damage multiple organs and weaken circulation