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Protein and micronutrient adequacy should also be assessed

Combining Cerebrolysin with NAD+ infusions, complementary neuropeptides, and lifestyle protocols including regular aerobic exercise (a potent natural BDNF booster), quality sleep optimization, and anti-inflammatory nutrition may support a more comprehensive environment for brain health optimization

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Patients with diabetic retinopathy should be monitored according to standard diabetes care guidelines, as rapid improvement in glycemic control has been associated with temporary worsening of retinopathy in some studies, though this is not a tirzepatide-specific labeled warning

Though generally mild in children and adults, rubella poses devastating consequences in pregnancy, leading to congenital rubella syndrome (CRS), characterized by cataracts, deafness, cardiac anomalies, and neurologic impairment