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Key domains requiring structured oversight include: Pancreatitis and gallbladder disease Progression of diabetic retinopathy Severe gastrointestinal intolerance Visual loss and rare opticnerve complications Nutritional/metabolic issues with rapid weight reduction In India, where continuity of care is variable and prescribing often occurs outside endocrinology, these risks can be underrecognised or misattributed

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The relationship between diabetes and hearing loss has been studied over the years, but there is not a clear picture

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Several pharmacologic therapies offer potential for the treatment of MASLD and circadian dysfunction.

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