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Baseline bloodwork should include a comprehensive metabolic panel, fasting insulin, fasting glucose, HbA1c, lipid panel, liver enzymes (AST and ALT), IGF-1 levels, thyroid panel, and for men, testosterone levels

while, dermoscopic examination of left side after treatment showed no improvement (Fig

This metabolic milieu generates reactive oxygen species (ROS) that can damage photoreceptor cells, retinal pigment epithelium, and choroidal vasculature

Acknowledgments The authors would like to thank the Long Island University Dassault Systmes Centre of Excellence for their financial and resource support