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Rapid weight loss associated with tirzepatide therapy may contribute to orthostatic hypotensiona drop in blood pressure upon standing

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You should: Check your blood glucose levels more frequently when initiating berberine, especially if you use insulin or sulfonylureas Recognise hypoglycaemia symptoms (trembling, sweating, confusion, rapid heartbeat, dizziness) and know how to respond appropriately Keep fast-acting carbohydrates available (glucose tablets, fruit juice) to treat low blood sugar promptly Contact your GP or diabetes nurse if you experience recurrent hypoglycaemia, as medication adjustments may be necessary Gastrointestinal symptom monitoring is equally important

Cardiac causes are classified as structural or arrhythmic, with testing guided by clinical suspicion