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But a study by Canadian scientists published in Jama Ophthalmology has found that after six months of use GLP-1 RAs are associated with double the risk of older people with diabetes developing neovascular age-related macular degeneration compared with similar patients not taking the drugs

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However, compounded formulations sometimes include additional ingredients like glycine , methylcobalamin (B12) , niacinamide , or L-carnitine that may support overall nutritional status

Another known cause of cobalamin deficiency is Diphyllobothrium latum (D