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Description
GLP-1 receptor agonists do not directly alter renal electrolyte handling in a way that causes predictable deficiency

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Diabetes (2009) 58:97583
Tirzepatide activates the bodys receptors for GLP-1 and activates pathways for glucose dependent insulinotropic polypeptide (GIP), which plays a role in regulating blood sugar and appetite

Nothing else has changed and I don't know

The patients who responded appear to have been prescribed a GLP-1 either for treating diabetes or obesity
