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A thorough personal and family medical history should identify contraindications to either therapy, including history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2 (contraindications to GLP-1/GIP therapy), and history of breast cancer, endometrial cancer, unexplained vaginal bleeding, active liver disease, or thromboembolic disease (potential contraindications to HRT)

Co-agonism showed, on murine models, the capability to improve insulin secretion and sensitivity in a weight-dependent and weight-independent manner, probably through its action on nutrient metabolism ( 1.5 Other possible pleiotropic effects of Tirzepatide Pleiotropic effects of GIP receptor stimulation in other tissues, mediated by mechanisms other than typical protein G-coupled receptor pathways, might bring additional benefits

Enzyme induction takes hours to days for upregulation

Turchi, R