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This might lead people to engage in more and more extreme behaviours to control their weight, or they might shift between extreme restriction of food intake and episodes of overeating or binge eating, the characteristic symptoms of bulimia nervosa

The update follows a European review of clinical evidence, post-authorisation reports and published literature, which concluded that semaglutide use in adults with type 2 diabetes may be associated with an approximately two-fold increase in the relative risk of developing NAION

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