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Vagal function is critical in delaying gastric emptying, as patients with vagal neuropathy do not observe this [39]

The early deterioration of diabetic retinopathy observed with GLP-1 RAs may reflect rapid glucose decline that affects osmotic pressure rather than direct retinal toxicity [91]

Pastries, donuts, cookies, and sugary drinks (including alcohol, soda, or any juices): These should also be limited or avoided due to high calories and low nutritional value

Additional warnings include risks of pancreatitis, hypoglycemia (particularly when combined with insulin or sulfonylureas), acute kidney injury, acute gallbladder disease, diabetic retinopathy complications, and suicidal behavior or ideation (Zepbound)

The liver is responsible for breaking down alcohol, and when it does, it may reduce its glucose production

But after awhile, if you have stress over a long period of time, then things do not repair as efficiently as they normally should