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We are also recommending that if patients are starting these drugs or increasing the dose of these drugs, they should do so slowly to reduce the risk of dropping their blood sugar and causing an osmotic shift. Bradley Katz, MD, PhD We as well as other concerned physicians are also asking FDA to mandate a post-marketing survey of these drugs to find the true incidence of eye complications associated with them

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Dosing is individualized based on body weight, age, and clinical response, with typical starting doses of 1.6 mcg/kg/day in younger adults

At that moment, I finally understood what patients had been telling me for years