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Certain groups already face higher baseline risk for NAION, regardless of GLP-1 use: Adults over age 50

Bacterial amyloid curli acts as a carrier for DNA to elicit an autoimmune response via TLR2 and TLR9

[2] Risk Factors and Who Should Be Cautious Certain patient characteristics and medical histories increase the baseline risk of developing pancreatitis, and these factors should be carefully considered before initiating Ozempic therapy

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As such, you dont need to worry about justifying an injectable as a valid HSA/FSA expense