I'm a lefty and don't have any issues with the AR platform during games. However, there are drawbacks.
One being the mag release cannot be done very quickly unless you get an ambidextrous mag release. You need to use your right hand to press the magazine release (righties can use their trigger finger), and that makes a speed load difficult as it adds about a second to your reload time which needs to be as quick as possible. Get a ambdi-mag release and you shouldn't have issue, though.
The only other drawback I can think of is burning 5.56/223 shells flying at you.
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