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When to reduce or stop: Persistent severe nausea despite dosage adjustment, severe injection site reactions or infection signs, significant blood pressure fluctuations, allergic symptoms, side effects outweighing vision benefits

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Pelitera says potential medication interactions may include: Levothyroxine, a thyroid medication Diabetes medications Anti-hypertensive medications Any medications processed in the liver More research on this topic is needed to know for sure what some of these drug-herbal interactions would be and how serious, but most are listed as moderate severity currently, which means they would not be life-threatening, Pelitera says