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Ethics statement The studies involving humans were approved by the Quadram Institute Bioscience Human Research Governance Committee (QIB01/2024) and the South East Scotland Research Ethics Committee (24/SS/0047)

Tirzepatide injection specifics Tirzepatide is a dual GIP/GLP-1 receptor agonist, meaning it activates two incretin pathways rather than one

Even borderline low levels can contribute to shedding in someone whose system is already under metabolic stress

Silverberg et al

The fibrosis process has its own momentum

These can include benign skin growths made up of smooth muscle cells (smooth muscle hamartomas), underdevelopment of the breast, shoulder muscles and fat, enlarged limbs, an overgrown adrenal gland, and an additional scrotum