This is not the end of the road
Practical Strategies to Minimize Dizziness During GLP-1 Treatment Slow titration is the first-line strategy: starting at the lowest dose and increasing gradually (over 48 weeks rather than 23 weeks) gives your cardiovascular system time to adapt
Only 14 percent of the Colorado participants even wanted to quit, and that trial found no effect on abstinence at all
If side effects are intolerable, options include staying at a lower dose longer before increasing, using anti-nausea medications more aggressively, or discontinuing and considering alternative medications
So, confounding factors remain (for example: underlying diabetes, obesity, other vascular risk, rapid weight loss, pre-existing eye disease)