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Anal Biochem 89(2):430436 Acknowledgements We thank all of our colleagues for their continuous encouragement and helpful scientific comments

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Weeks 36 Hunger often becomes more consistent and manageable

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Glycemic control, assessed by HbA1c, showed a trend toward lower values in the GLP-1 RA group (6.1% vs 7.0%, p = 0.08), which may have contributed to improved tear film stability and production, although this difference was not statistically significant and cannot solely explain the ocular surface differences