Seek medical attention if you experience: Severe or persistent nausea and vomiting that prevents adequate fluid or food intake Signs of dehydration, including decreased urination, dark urine, dizziness, or extreme thirst Significant unintended weight loss beyond expected therapeutic effects Difficulty swallowing or persistent throat pain Symptoms suggestive of pancreatitis, such as severe abdominal pain radiating to the back (stop taking tirzepatide and seek urgent care) [1] Right upper abdominal pain, fever, or yellowing of skin/eyes (possible gallbladder disease) Call 911 or seek emergency care immediately for: Signs of allergic reaction, including facial/throat swelling, difficulty breathing, or severe rash Severe abdominal pain with vomiting that prevents keeping down any fluids Additionally, if you have diabetes, report any new or worsening vision changes and maintain regular retinal screening appointments

The mean uncorrected one-year glycemic responses for GLP1-RA and SGLT2i were -11.7 and -12 mmol/mol, respectively
These precautions are not intended to cause concern, but to support informed and proactive health management (Table 5)
In the Dispatches investigation, the case of Mark Jones, a sheep farmer who was losing control of hypoglycemic episodes due to diabetes medication mismanagement, illustrates the clinical peril posed by supervision