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However, people with diabetes may experience hearing problems due to the underlying condition itself, as elevated blood glucose can damage blood vessels and nerves in the inner ear over time

For roughly 50% of users, nausea and gastrointestinal discomfort begin to plateau or gradually improve as the body adapts to the medication

Some patients also report changes in energy levels and mood following discontinuation, though more research is needed to fully characterize these effects

These cases highlight ongoing legal debates around ERISA, including the standards for pleading investment mismanagement, the treatment of mental health in disability claims, and the arbitrability of ERISA disputes

& SURPASS-4 Investigators