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If this occurs, GLP-1 and GIP therapy should be withheld while this is investigated
Ipamorelin is a synthetic peptide that acts as a selective growth hormone secretagogue (GHS), meaning it stimulates the pituitary gland to naturally release more growth hormone (GH)
Vitamin B12 deficiency, in particular, is associated with peripheral neuropathy and altered skin sensation
Tirzepatide is a dual GLP-1 and GIP receptor agonist that suppresses appetite through hormonal pathways rather than direct gastrointestinal interaction, meaning food intake does not interfere with its mechanism or absorption
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