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FDA Approves Novel, Dual-Targeted Treatment for Type 2 Diabetes. Tirzepatide for weight loss: Lilly: Investors (2022)
The lipid side chain promotes reversible albumin binding, slowing clearance and enabling prolonged receptor exposure in vivo
Using them together does not significantly improve outcomes
While dose adjustment is not generally required for mild to moderate renal or hepatic impairment, tirzepatide has not been studied in patients with severe gastrointestinal disease, including severe gastroparesis, and is not recommended in these populations
Reeves MA, Royal JM, Morris DA, Jurkiewicz JM, Matoba N et al (2021) Spray-dried formulation of epicertin, a Recombinant cholera toxin B subunit variant that induces mucosal healing