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Abstract The glucagon-like peptide-1 (GLP-1) receptor is a validated drug target for metabolic disorders

Maintaining adequate B12 levels keeps homocysteine in the normal range, supporting the cardiovascular benefit tirzepatide already provides through its primary mechanism

doi: 10.1016/j.diabres.2015.12.003

A Study of Orforglipron in Adult Participants With Obesity or Overweight and Type 2 Diabetes (ATTAIN-2)
The result was a significant reduction in GLP-1 production, decreased insulin secretion, and elevated postprandial blood glucose

The psychological component matters as well
