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Description
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

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

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

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