However, these synthetic versions are engineered to resist breakdown by the DPP-4 enzyme that rapidly degrades natural GLP-1, remain active in the bloodstream for much longer periods (days to weeks versus minutes for natural GLP-1), and achieve blood concentrations far higher than the body naturally produces
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Compounded tirzepatide offers another option, with the compounded dosage chart allowing for more flexible dose adjustments
Cosentino F, Grant PJ, Aboyans V, Bailey CJ, Ceriello A, Delgado V, Federici M, Filippatos G, Grobbee DE, Hansen TB, Huikuri HV, Johansson I, Jni P, Lettino M, Marx N, Mellbin LG, stgren CJ, Rocca B, Roffi M, Sattar N, Seferovi PM, Sousa-Uva M, Valensi P, Wheeler DC, ESC Scientific Document Group
While DSIP occurs naturally in breast milk, supplemental doses have not been studied in pregnancy or lactation