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She presented mild facial dysmorphism with bluegray sclerae, mild down-slanting palpebral fissures, epicanthic folds, and some redundancy of the skin on the upper eyelids ( Figure 1a , d , e )

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The Medicines and Healthcare products Regulatory Agency (MHRA) has approved its use, and it is increasingly prescribed for glycaemic control

Therefore, clinicians should periodically reassess symptoms rather than assuming tolerance remains unchanged