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Simultaneously, there is often an overgrowth of opportunistic, pro-inflammatory pathogens like Streptococcus and Actinomyces

Furthermore, patients with fibromyalgia often report comorbid conditions such as anxiety and depression, which can exacerbate their symptoms

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OCTA's ability to detect microvascular changes earlier than fundus photography was validated in a longitudinal study, which showed that OCTA identified capillary dropout in 25% of T2DM patients with normal fundus photography findings (118, 119)

Supplementary analyses A larger proportion of the patients initiating metformin died compared to patients initiating GLP1 RA, 16 and 5, respectively

& Gentry, K