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Contraindications exist for specific patient populations and must be evaluated before prescribing
Remember that your needs may change throughout your treatment
The most sensible answer is: if you have known diabetic retinopathy, recent visual symptoms, or no recent retinal exam, then yesan updated eye evaluation is wise
J Cell Physiol (2015) 230(12):300918.10.1002/jcp.25033 19 MieczkowskaAMansurSBouvardBFlattPRThorensBIrwinNet alDouble incretin receptor knock-out (DIRKO) mice present with alterations of trabecular and cortical micromorphology and bone strength
However, they did say such decisions should be based on multidisciplinary discussions that take the patients full medical history into account