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If the uptake did not increase after addition of intrinsic factor the B12 malabsorption was likely to be caused by an intestinal condition

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The dual agonism of GLP1 and GIP receptors improves glycemic control and results in significantly greater weight loss than GLP1 receptor agonism alone. Frias et al., New England Journal of Medicine Other Mechanisms Supporting Fat Loss and Metabolic Health Delays gastric emptying slows digestion and prolongs fullness Reduces appetite fewer calories consumed naturally Increases insulin sensitivity better glucose disposal, reduced fat storage Suppresses glucagon secretion decreases hepatic glucose production These combined mechanisms make tirzepatide an exceptionally powerful tool for weight loss , especially in individuals with impaired glucose control or insulin resistance

International Journal of Biochemistry & Cell Biology 29 (5): 743751