However, three safety considerations matter: (1) L-carnitine may lower blood sugar in susceptible individuals, potentially amplifying tirzepatide's glucose-lowering effect and requiring dose monitoring
GLP-1 medications have also been associated with: Worsening of diabetic retinopathy Exacerbation of age-related macular degeneration Optic nerve complications, including NAION These risks dont mean you should stop taking your medication, but they do show why its important to have an eye exam before starting and regular follow-up exams while on treatment
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