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doi: 10.1177/2167702614521794 60 KlumpKLKeelPKRacineSEBurtAANealeMSiskCLet al

Notably, this benefit occurred without greater shortterm weight loss or greater reductions in epicardial fat compared to riskfactor modification alone, suggesting the therapy may work through more complex biological pathways

However, the included RCTs reported no cases of medullary thyroid carcinoma in either the tirzepatide or the control groups

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Furthermore, both GIP 100 nM and Tirzepatide at 10 nM stimulated lipolysis through cyclic adenosine monophosphate (cAMP)/protein kinase A (PKA) pathway, as evidenced by increased glycerol release and HSL phosphorylation on day 19 differentiated cells
