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Microvascular Catastrophe: Cochlea and Retina The GLP-1RA mechanism is one of vasodilation and metabolic stress that attacks shared, sensitive microcirculations: Inner Ear and Cochlea: The drugs vasodilation perturbs pressure and fluid homeostasis in the inner ear via the

FASEB Journal, 2003

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Management requires coordinated insulin therapy, pancreatic enzyme replacement, nutritional optimisation, and surveillance for skeletal and malignant complications