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Ketosis is the process of using fat for energy
The triple agonist mechanism appears to match or slightly exceed tirzepatide for blood sugar management , likely because the glucagon component, while it can raise blood sugar in isolation, works synergistically with GLP-1 and GIP activation to produce a net positive effect on glucose regulation
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You may benefit from dose adjustment, timing changes, or anti-nausea supplementation (ginger, vitamin B6)
Use simple decision aids or visual tools if available, and invite patients to weigh the pros and cons with you
In: West, G (Ed.): Zoo Animal and Wildlife Immobilization andAnesthesia
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