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A 2024 meta-analysis (Sattar et al., Lancet Diabetes Endocrinol) found that switching from semaglutide to tirzepatide produced an additional 4.2 kg mean weight loss over 40 weeks, even when semaglutide had been titrated to maximum dose

A glycine at the second N-terminal position protects the molecule from DPP-4 inactivation while a glutamic acid at position 16 stabilizes the secondary structure and improves potency

The satiety signals are real, coming from actual hormonal pathways rather than artificial stimulation

The hormone also decreases the parietal cells secretion of gastrin and stomach acid, proliferates the bones osteoblasts and inhibits osteoclasts, and may be involved in neuro-signaling as evidenced by widespread expression of GIPr in the brain
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