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While GLP-1 medications (like semaglutide) target only the GLP-1 pathway, tirzepatide was engineered from the native GIP sequence to bind both receptors, allowing it to work through two complementary mechanisms rather than one

The majority of patients were over 65 years of age ( n = 759, 33.93%), and only 1.43% were under 18 years
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Alterations of gastrointestinal motility in obesity

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