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The proposed mechanisms for tirzepatide's efficacy include: Augmented insulin secretion : GIP receptor activation may complement GLP-1-mediated insulin release, particularly in the postprandial state Potential effects on insulin sensitivity : Emerging evidence suggests GIP signalling in adipose tissue might influence lipid metabolism Weight reduction : Dual agonism appears to produce pronounced effects on appetite suppression Effects on lipid parameters : Early data suggest GIP receptor activation may influence lipid metabolism alongside GLP-1 effects Both tirzepatide and exendin-4-based agents exhibit glucose-dependent mechanisms , meaning insulin secretion is enhanced only when blood glucose levels are elevated
10.1038/nrm3735 35 MendelsohnC.GouldG
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