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Furthermore, it presents, at position 20, a C20 fatty acid chain attached via a linker to the lysine residue, which enables the molecule to bind circulating albumin with high affinity, thus increasing the half-life up to 5 days ( 1.2 The physiology of incretins GIP (the one which provides the most of incretin effect in humans ( in vitro experiments on GIP-R-deficient show a resistance to obesity ( 1.3 In vitro Tirzepatide’s effects In vivo and in vitro preclinical studies have demonstrated that co-administration of GIP and GLP1 promotes insulin sensitivity, leading to better blood glucose level control, more sustained reduction in food intake and consequently better WL compared to the infusion of a single agent ( in vitro and human islets ( Figure 1 )

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Stopping treatment permanently may lead to gradual weight regain as appetite hormones normalize, making long-term adherence important for sustained results