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Supplement Facts: Serving Size: 2 capsules Servings Per Container: 30 Amount Per Serving: Energy kcal: 0.4 kcal Energy kJ: 1.7 kJ Protein: 0 g Fat: 0 g Carbohydrate: 0.1 g of which sugars: 0 g Fibre: 0 g L-Carnitine: 1000 mg Green Tea Extract: 400 mg of which EGCG: 180 mg of which caffeine: 64 mg *RI - Reference Intake Ingredients: L-carnitine tartrate, green tea extract (Camellia sinensis), capsule (gelatine), anti-caking agent: magnesium stearate

1997, Cold Spring Harbor Laboratory Press 5

As a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist, tirzepatide works by enhancing insulin secretion in response to meals, suppressing glucagon release, slowing gastric emptying, and reducing appetite

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Because GH antagonizes insulin at the hepatic and peripheral level, daily GHRH stimulation can modestly elevate fasting glucose and HbA1c over 26 to 52 weeks