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Decreased fasting and postprandial glucagon by up to 43% at the highest dose Delayed gastric emptying, leading to slowed glucose absorption and lower postprandial glucose peaks Signal transduction studies[3] reveal that tirzepatide shows GIP-mimetic action while biasing GLP-1 receptor signaling toward cAMP generation rather than -arrestin recruitment, potentially amplifying its insulinotropic effect without typical side effects seen with pure GLP-1 agonism

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If hepatotoxicity is suspected, these agents should be discontinued in favor of alternative therapies