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Are there surgical alternatives

Non-arteritic anterior ischemic optic neuropathy Recent studies have raised concerns about a potential association between GLP-1 RAs and non-arteritic anterior ischemic optic neuropathy

With the drops, while somem step up may be involved, it is much more limited because side effects are generally less of a concern with sublingual semaglutide drops

Unfortunately, these are the only real randomly controlled trials we're aware of to date

Testing estrogen and progesterone can be helpful in pinpointing this stage, but also were interested in markers for stress, inflammation and insulin resistance which can worsen with lower hormone levels