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When glucose control improves quickly, there is a known phenomenon in diabetes care called early worsening of diabetic retinopathy in certain situations
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Study: Safety of GLP-1 receptor agonists and other second-line antidiabetics in early pregnancy
However, there is no evidence to suggest that ashwagandha increases the risk of serotonin-related effects, and there have been no published case reports of serotonin syndrome when combined with other serotonergic drugs
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