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9 g net carbs**
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doi: 10.14309/crj.0000000000000868 33 PRISMA 2020 checklist

However, since STR activation has been reported to upregulate SGLT1 expression [44, 48], it is possible that chronic STR activation may affect GIP secretion via SGLT1 upregulation

The starting dose of tirzepatide is intentionally low to minimize the risk of gastrointestinal side effects

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