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Recently, Eli Lilly reported that tirzepatide combined with a monoclonal antibody (Taltz) can have additive effects for control and reduction of symptoms of plaque psoriasis and psoriatic arthritis, two notoriously difficult to treat autoimmune diseases

10.2337/db07-1056 27 LiuJ

Tirzepatide activates both GLP-1 and GIP receptors, while semaglutide only activates GLP-1 receptors

link Beck DE, Sweeney WB, McCarter MD, et al

There isnt one clear answer as to why semaglutide can cause heartburn and acid reflux

Good product, however I think I need a higher dose next round, Easy process My experience with vitastir has been amazing