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Tirzepatide targets two gut hormones: GIP GLP-1 Both influence appetite, insulin release, and energy balance, and both act on brain circuits that: Regulate reward Motivation Satiety GLP-1 receptor activity reaches areas of the brain involved in mood and cognition, and experimental work suggests GLP-1 agonists can reduce brain inflammation and support neurons

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Given the enhanced efficacy of the 5FU + metformin combination in AKP organoid models in 3D (Fig