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"Efficacy and safety of a novel dual GIP and GLP-1 receptor agonist tirzepatide in patients with type 2 diabetes (SURPASS-1): a double-blind, randomised, phase 3 trial." Lancet , 398(10295), 143-155

L-carnitine may modestly improve the ratio of fat loss to muscle loss by enhancing fatty acid oxidation, reducing the body reliance on protein breakdown for energy

Looking up at the syringe makes 48 units look like 50

No oral tirzepatide is FDA-approved

Banks PA, Freeman ML, Practice Parameters Committee of the American College of Gastroenterology

Together, these actions lower blood sugar levels, slow gastric emptying (preventing sharp spikes after meals), and reduce appetite
