If you were already taking creatine before starting tirzepatide, you can continue it
While many people tolerate semaglutide well, some might experience adverse reactions
doi: 10.3390/biom13081170
Although GLP1 has been shown to have effects on the immune system, such as in cardiomyocytes (Noyn-Ashraf et al, 2009) or endothelial cells (Shiraki , et al, 2012), many of these studies have shown little relevance to the organ of interest, namely the pancreas
Sudden vision changes require prompt medical evaluation
There is a live chat option thats staffed by extremely knowledgeable employees, as well, but you have to go to the help center page to find it, the button for which is at the bottom of the main pages