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In 2025 the European Medicines Agency listed a rare eye condition involving sudden vision loss, known as NAION, as a very rare side effect of semaglutide
This identified "LLD factor" as essential for the bacteria's growth
Some patients may find that probiotic-rich foods including yogurt, kefir, sauerkraut, and kimchihelp support regular bowel function, though evidence specific to tirzepatide users is limited
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