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Blood ketone readings of 3.0 or 4.0 mmol/L look impressive but they often indicate either fasting or undereating rather than optimal nutritional ketosis

10.1016/j.nut.2009.07.008 16 BramanteC

Retatrutide counters these effects directly

Direct mechanisms of tirzepatide on cardiovascular health Although the precise mechanism by which tirzepatide could benefit HF is not known, several potential pathways have been suggested: Anti-inflammatory effects Patients with T2DM experience increased levels of hyperinsulinemia, hyperglycemia, and insulin resistance

Physician treatment notes confirming the reason for the prescription and any dose changes or discontinuation

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