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According to Harvard Health, gastrointestinal symptoms are the most common side effects of GLP-1 drugs

Contact your healthcare provider promptly if you experience: Persistent gastrointestinal symptoms : Severe nausea, vomiting, or diarrhea lasting more than 24 hours, particularly if accompanied by signs of dehydration (decreased urination, dizziness, dry mouth) Abdominal pain : Severe or persistent pain, especially in the upper abdomen radiating to the back, which may indicate pancreatitis Gallbladder symptoms : Right upper quadrant pain, particularly after meals, with or without fever and jaundice Hypoglycemia : Symptoms including shakiness, sweating, confusion, rapid heartbeat, or difficulty concentrating, especially if taking tirzepatide with insulin or sulfonylureas Kidney problems : Decreased urination, swelling in legs or feet, unusual fatigue, or confusion Mental health changes : New or worsening depression, suicidal thoughts, or unusual changes in mood or behavior Pregnancy : If you become pregnant or are planning pregnancy while taking tirzepatide, especially for weight management Seek emergency medical attention for: Severe allergic reactions : Difficulty breathing, facial or throat swelling, severe rash, or rapid heartbeat Severe abdominal pain : Particularly if accompanied by vomiting and inability to tolerate oral intake Vision changes : Sudden vision loss or blurred vision, which may indicate diabetic retinopathy complications Thyroid concerns : A lump or swelling in the neck, hoarseness, difficulty swallowing, or persistent cough Patients should maintain regular follow-up appointments for monitoring of glycemic control, weight, and potential adverse effects

GLP-1 and GIP were also responsible for down-regulating the expression of MCP1, VCAM1, ICAM1 and PAI1molecules regulating inflammatory response

Would baseline risk assessment or referral for hematology be helpful in my case

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The subcutaneous route bypasses the digestive system entirely, allowing the drug to be absorbed directly into the systemic circulation via the tissue beneath the skin, ensuring predictable bioavailability and consistent therapeutic effect