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Compounded tirzepatide is not the same as Mounjaro or Zepbound, and it should not be described as a generic version of either

Post-prandial levels of portal blood glucose are elevated and insulin levels decreased in rats with knockdown of GLP-1R in vagal afferent neurons, suggesting that GLP-1 also regulates blood glucose via activation of vagal afferent GLP-1 receptors [518]

Fat tissue produces estrogen, so significant weight loss changes estrogen levels
