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The practical takeaway is simple: tirzepatide may help lower blood pressure as part of a broader improvement in metabolic health, but it should not be viewed as a stand-alone hypertension treatment

Glycemic optimization : Maintaining hemoglobin A1c below 7% (or individualized targets) may slow progression of diabetic complications affecting sexual function

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Like B12, take vitamin D in the morning rather than evening, as evening supplementation has been anecdotally associated with disrupted sleep in some individuals

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