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Potential concerns: Not all compounding pharmacies meet FDA safety standards Doses and formulations may differ from branded versions Telehealth consults can be rushed or incomplete Ongoing cost can be far higher than expected While these services may be legal, they are not without risks, especially for individuals with co-occurring mental health disorders
A 2026 Washington University School of Medicine analysis of veterans with type 2 diabetes found that even brief interruptions of GLP-1 treatment -- as little as six months -- were associated with higher risk of heart attack, stroke, and death compared with continuous use
More severe cases can require additional therapies, such as prescription medications, but these therapies are the basis for all cases of DED: Nutritional supplement Nutritional supplements made specifically for DED, such as HydroEye (ScienceBased Health), De3 Omega Benefits (PRN), or Blink (Bausch & Lomb), can improve the tear film and the ocular surface from the inside out
Pharmacotherapy 37:481491 Zinman B, Wanner C, Lachin JM et al (2015) Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes
Cost, side effects and long-term tolerability all play a role