The most common concern involves gastrointestinal side effects, as both medications can cause nausea and digestive changes, particularly during dose escalation
Biochimica Biophysica Acta, 1741 (1-2), 48-54
Potential Risks of Taking Semaglutide and Tirzepatide Together Because both medications influence digestion and metabolism, combining them may increase the risk of certain side effects
Alterations in the normal function of excitatory amino acid carrier 1 affect cysteine transport and GSH synthesis impairing zinc homeostasis (the thiol group of GSH can function as a principal Zn 2+ chelator for the maintenance of Zn 2+ homeostasis in neurons) and oxidative stress, enhancing susceptibility to ischemia-induced neuronal cell death in the hippocampus (162164)
While female sexual desire is not yet fully understood, evidence suggests that estradiol, testosterone, dopamine, norepinephrine, and serotonin all play a role