In a series of clinical trials (SURPASS 1-5) individuals with type 2 diabetes have shown reduction in both HbA1c (1.2 to 2.6%) and body weight (5.411.7 kg) (Nauck and D'Alessio 2022)
(2) FGF21 secretion via autophagy-dependent mechanisms
Diabetologia 66(10):18691881 Chuang MH, Chen JY, Wang HY, Jiang ZH, Wu VC (2024) Clinical outcomes of Tirzepatide or GLP-1 receptor agonists in individuals with type 2 diabetes
Inject the bacteriostatic water slowly
Miguens-Gomez 2021): A fast, neural-based release within 10-15 minutes of eating A slower, nutrient-based release ~60 minutes after eating, especially when nutrients reach the lower GI tract, Eating too quickly may short-circuit the gut-brain connection
Copper deficiency myelopathy is more likely to occur in patients who have undergone upper gastrointestinal surgery, typically between the ages of 50 and 60 years, and is more common in women than in men