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Nutrition changes could be a culprit

10.1159/000092104 59 MarxN.FedericiM.SchttK.Mller-WielandD.AjjanR

One potential difference is the signal for increased heart rate or arrhythmias, which has also been observed to a lesser extent with tirzepatide, but may warrant closer monitoring as more data becomes available

Complementary in vitro studies revealed that liraglutide exerted a dose-dependent inhibitory effect on the secretion of pro-inflammatory mediators, including interleukin 6 (IL-6), prostaglandin E2 (PGE2), and nitric oxide (NO), and suppressed the expression of inflammatory genes in chondrocytes and macrophages [45]

Your body may have adapted to the current dose, meaning your GLP-1 receptors have become less responsive over timea process called receptor desensitization