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EPSM horses have a genetic mutation in an enzyme, glycogen synthase 1, which causes this enzyme to be more active than normal

When your immune system attacks thyroid tissue through elevated TgAb, several performance-impacting problems develop: Gradual thyroid destruction: Even if your TSH, T3, and T4 levels currently appear normal, elevated TgAb indicates ongoing autoimmune attack that will eventually degrade thyroid function

It is also licensed for weight management in adults with obesity or overweight with weight-related comorbidities, though NHS access may vary according to NICE guidance

Muscle mass management: Tirzepatide appears to preserve muscle mass more effectively, with research indicating approximately three times more fat loss than lean tissue reduction during weight loss

Furthermore, marked differences in the GM composition were reported between diabetic and non-diabetic patients [84, 85]

But the symptoms are the same for both