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Repeated temperature cycling moving the product in and out of the fridge frequently may cumulatively reduce stability even if no single episode appears significant

Fluoxetines effects on weight are less predictable, as it may cause either weight loss or weight gain depending on the individual

However, this increase was still lower than the control group, which increased its cortisol hormone to 3.450ng/ml, although it was also not significant (p=0.064) (Table 1)

This dual mechanism is why tirzepatide consistently produces greater weight loss in clinical trials

doi: 10.1186/s12933-020-01209-y 159

[PubMed] [Elsevier] Azzini E, Ruggeri S, Polito A