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Poor sleep disrupts the intestinal lining and reduces L-cell activity, while chronic stress elevates cortisol levels, which can suppress GLP-1 signaling

Weight reduction therefore plays a key role in slowing disease progression

Sudden vision loss in one eye, dim or blurry central vision, or difficulty distinguishing colors warrants emergency ophthalmologic evaluation

10 Additionally, sleep apnea increases daytime sleepiness, irritability, and fatigue, which may lead to falling asleep during the day, difficulty concentrating, and an increased risk for auto accidents