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Tirzepatide activates two hormone pathways simultaneously : GLP-1 and GIP (glucose-dependent insulinotropic polypeptide)

If you have been on 2mg for 6+ weeks without progressing to 4mg and are tolerating the medication well, the delay in escalation is likely postponing the appetite benefits you are seeking

In humans, EA intervention (180 mg/day, P.O for 8 weeks) significantly fortified the mean of TAC and the activity of GPX enzymes as well as reduced MDA contents in the serum of type 2 diabetic patients [172]

Recent labs (within 12 months) can be uploaded