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An exciting trend soon emerged

Eli Lilly and Company has announced positive topline results for the first oral small molecule glucagon-like peptide-1 (GLP-1) receptor agonist, taken without food and water restrictions, to successfully complete a Phase III trial

Quick Answer: Tirzepatide does not directly cause sleeplessness as a recognised adverse effect, though sleep disturbances may occur indirectly through gastrointestinal symptoms or metabolic changes

My physician completed the forms & first submitted to Medicare Part D to get the official denial

The mechanism makes sense