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The review contextualised native GLP-1 as the reference molecule for the entire dual GIP/GLP-1 receptor agonist research field including tirzepatide (approved) and novel triple agonists targeting GLP-1R, GIPR, and GCGR simultaneously confirming native GLP-1s ongoing research importance as the pharmacological anchor of this rapidly expanding compound class

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Tirzepatide often causes nausea, vomiting, or diarrhea, especially during the first few weeks

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Others have also indicated that GLP1R agonism on CD8+ T cells is immunosuppressive, as GLP1R on activated T cells acts as a negative costimulatory molecule akin to PD-1 39

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Reduced liver fat: Semaglutide promotes fat breakdown and reduces fat synthesis in the liver

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Proper hydration should be maintained by increasing water intake as needed, likely a minimum of 64oz per day

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