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High heat can degrade the medication and make it less effective

The cases of worsening were confirmed by a retina specialist after manual review of the patients electronic medical record and available retinal imaging, such as OCT

Diabetes Care 2023;46:384-90.PubMed 108

Instruct patients to reread the Medication Guide each time the prescription is renewed

Standardized questionnaires about food intake can assist in the process of identifying points of potential improvement 99,100 , after which culturally tailored adaptations to diet can be made by suggesting foods that patients are familiar with that could allow sustainable behavioral changes 101,102,103

If these problems persist, then you should reach out to your provider