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Description
The study showed significant decreases in HOMA2-B scores, proinsulin/insulin ratios, and proinsulin/C-peptide ratios in both tirzepatide (all doses) and dulaglutide compared to placebo [66]

Methods Study Identification This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [21]

At initial doses of 1 to 2mg weekly, most researchers report mild appetite suppression within the first week, with effects becoming more pronounced during dose escalation
If your medication is shipped during cold weather and the package sits on an unheated porch, the medication can freeze

Importantly, clinicians must exclude mechanical obstruction and other organic pathology before attributing symptoms to gastroparesis
