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Patients with preexisting type 1 diabetes or type 2 diabetes who are planning pregnancy should undergo an eye examination before pregnancy, early in the first trimester and in the following trimesters, and up to one year postpartum, depending on the degree of diabetic retinopathy

tirzepatide in SURMOUNT (NEJM 2022)

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However, because these medications are protein-based, they are highly sensitive to environmental conditions, particularly temperature fluctuations

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