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various eye and vision abnormalities such as decreased blink rate, dry eyes, deficient ocular pursuit (eye tracking) and saccadic movements (fast automatic movements of both eyes in the same direction), difficulties in directing gaze upward, and blurred or double vision

Dong, H., Wang, N., Zhao, L., & Lu, F

Tesamorelin can raise blood glucose in some people, especially if you already have prediabetes or insulin resistance, however studies show that those with diabetes on tesamorelin did not see a change in their glycemic control

Another issue is that compounded semaglutide tends to come in a vial instead of a pre-filled pen, which means patients must measure out their dose using a syringe