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DPP-4 is a proteolytic glycoprotein that removes the two N-terminal amino acids of small peptides when the second amino acid from the N-terminal side is alanine or proline [12]
While tirzepatide works by mimicking two hormones the body naturally produces (GLP-1 and GIP), it does not target reproductive hormones like estrogen or progesteronethe hormones that control ovulation and your menstrual cycle
When appetite is suppressed, food decisions are simpler
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however, gender- and age-specific responses, as well as concurrent medication use (eg, metformin), might influence outcomes
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