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If Mrs ABI is hyperinsulinaemic then the excess insulin in the blood will stimulate hunger and consequently she will eat - by addressing insulin resistance then hunger is also being addressed albeit indirectly

Tirzepatide (Mounjaro, Zepbound) is actually a dual GIP/GLP-1 receptor agonist

It occurs when your body is not able to fight the free radicals effectively

The sublingual route may be simpler to prepare and administer than nasal spray but has its own challenges, including peptide degradation by salivary enzymes and the difficulty of keeping the solution under the tongue long enough for absorption

Avoid opening the refrigerator to check on peptides, as this accelerates warming