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American Academy of Ophthalmology

Also, these medications should be used with caution in individuals with a history of pancreatitis or thyroid C-cell tumors due to a potential increased risk associated with these conditions

Furthermore, following the 2008 US Food and Drug Administration (FDA) guidance for industry that requires proof of cardiovascular safety as a prerequisite for approval of diabetes treatments, there has been a substantial increase in the understanding of the risks of these treatments, in addition to their benefits, on clinically relevant outcomes