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Tirzepatide is the active ingredient that is a GLP-1and GIP agonist

Effects of Lactobacillus casei CCFM419 on insulin resistance and gut microbiota in type 2 diabetic mice

For a perimenopausal woman, this matters more than for a younger one

[DOI] [PubMed] [Google Scholar] 182.Hui H., Farilla L., Merkel P., Perfetti R