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The most sensible answer is: if you have known diabetic retinopathy, recent visual symptoms, or no recent retinal exam, then yesan updated eye evaluation is wise

MAOIs inhibit the enzymatic degradation of serotonin, dopamine, and norepinephrine any peptide that increases availability of these neurotransmitters, even indirectly, can precipitate serotonin syndrome

without glutathione to keep it in line, it initiates oxidative stress in cells, causing damage

Possible positive effects that some patients report include: Improved mood and reduced anxiety symptoms potentially linked to successful weight loss and better metabolic control [6] Enhanced self-esteem and body image as weight reduction progresses Reduced food-related anxiety and preoccupation with eating, though evidence for effects on binge eating is limited and observational Better sleep quality in some patients, though this is anecdotal and not well-established in clinical trials These improvements, when they occur, are generally considered secondary to metabolic benefits rather than direct anxiolytic effects

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