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By activating two distinct gut hormone pathways, tirzepatide amplifies insulin secretion, maximizes fat burning, and manages appetite more aggressively than single-hormone alternatives
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In other words GLP-1s and there are a range of these treatments all have an effect which is predominantly around high sugars and if the sugar becomes low, the effect is switched off, and it is the reason we see very low rates of low blood sugars so called 'hypos', or hypoglycemic episodes that occur with GLP1 treatments