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The problem is not the dose Sometimes the medication is working exactly as it should, but lifestyle factors are preventing weight loss

10.1210/er.20.6.876

Tirzepatide (development code LY3298176) is a single engineered peptide a fatty-acid-modified 39-amino-acid molecule that acts as a dual agonist at two incretin receptors: the glucose-dependent insulinotropic polypeptide (GIP) receptor and the glucagon-like peptide-1 (GLP-1) receptor

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101 However, high serum Hcy levels are negatively associated with NASH, and significant fibrosis in patients with NAFLD