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At its core, tirzepatide is a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist
Some may scale back to monthly maintenance once their energy stabilizes or goals are met
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This explains why the plasma contains the administered forms of cyanocobalamin and aquacobalamin, and their conversion into coenzyme forms, methylcobalamin and 5,5-adenosylcobalamins, has not been demonstrated in this physiological environment
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