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Some researchers report losing significant weight but retaining a disproportionate belly compared to their overall size

5.8 Diabetic Retinopathy Complications in Patients with Type 2 Diabetes In a 2-year trial with semaglutide 0.5 mg and 1 mg once-weekly injection in adult patients with type 2 diabetes and high CV risk, diabetic retinopathy complications (which was a 4-component adjudicated endpoint) occurred in patients treated with semaglutide injection (3%) compared to placebo (1.8%)

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Also, talk about whether a lower dose or a slower weight loss journey would be safer for avoiding side effects