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Significant fluctuations in blood sugar levels can damage blood vessels in the retina if not well-controlled, potentially leading to serious vision problems and even blindness if left untreated

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Gonzalez, F

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Alcohol should be minimised during retatrutide treatment as it can worsen nausea, impair blood glucose regulation, and increase the risk of hypoglycaemia in people also taking insulin or sulfonylureas

[1] A shortened interval between doses might intensify these effects because your body has less time to process the previous dose