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Tirzepatide works by slowing gastric emptying and signaling satiety to the brain, changes that can indirectly affect energy levels, activity patterns, and hydration status
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Despite the improvement in GH/IGF-1 levels (GH 10.6 ng/mL, IGF-1 462 ng/mL), her glycemic control drastically deteriorated for 4 months (Hb1Ac 8.2–12.0%)