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If every previous weight loss attempt without pharmacological support ended in regain, that pattern likely continues

Dulaglutide, semaglutide, tirzepatide: potential for altered medicinal product exposure (Tmax, Cmax) when administered with oral medicinal products with rapid gastrointestinal absorption or prolonged release, due to delayed gastric emptying

It also appears to enhance growth of cells in the pancreas, which are the sites of insulin production

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