Tirzepatide
Also known as: Mounjaro, Zepbound, LY3298176, twincretin, dual GIP/GLP-1 receptor agonist
Dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist; first-in-class incretin mimetic
What it is
Tirzepatide is a first-in-class dual agonist at receptors for glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) (PMID 38388874; PMID 37070418). By simultaneously activating both incretin pathways, it improves glycemic control, reduces appetite and food intake, promotes weight loss, and exerts pleiotropic cardiometabolic effects (PMID 41923370; PMID 38994609). Population pharmacokinetic modeling shows tirzepatide follows a two-compartment model with first-order absorption and elimination, a half-life of approximately 5 days, enabling once-weekly subcutaneous dosing. Mechanistic studies suggest tirzepatide increases fat oxidation and reduces calorie intake without meaningfully impacting metabolic adaptation in humans. Additional mechanisms under investigation include anti-inflammatory effects (reduction of hsCRP and IL-6), modulation of gut microbiota and bile acid metabolism, improvement of islet cell function and insulin sensitivity, enhancement of endothelial nitric oxide synthase activity, suppression of pro-inflammatory cytokines, and improvement of lipid profiles.
Class: Dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist; first-in-class incretin mimetic
What it's studied for
- Type 2 diabetes mellitus — glycemic control Human RCT
- In phase III SURPASS trials, once-weekly subcutaneous tirzepatide was superior to dulaglutide 0.75 mg, semaglutide 1 mg, and basal/prandial insulin for glycemic control and weight loss in adults with inadequately controlled T2DM. PMID 38388874 France NL, Syed YY. Tirzepatide: A Review in Type 2 Diabetes. Drugs. 2024.
- Network meta-analysis of 28 RCTs (23,622 participants): tirzepatide 15 mg reduced HbA1c by mean difference -21.61 mmol/mol (-1.96%) vs placebo; all tirzepatide doses showed greater weight reduction than semaglutide doses. PMID 38613667 Karagiannis T et al. Subcutaneously administered tirzepatide vs semaglutide for adults with type 2 diabetes: a systematic review and network meta-analysis. Diabetologia. 2024.
- Post hoc of SURPASS-2: tirzepatide 5/10/15 mg led to greater increases in HOMA2-B (96.9–120.4%) and greater reductions in HOMA2-IR (15.5–24.0%) vs semaglutide 1 mg (84.0% and 5.1%, respectively) at 40 weeks. PMID 38252888 Frias JP et al. Tirzepatide Improved Markers of Islet Cell Function and Insulin Sensitivity in People With T2D (SURPASS-2). J Clin Endocrinol Metab. 2024.
- Post hoc analysis of SURPASS-AP-Combo and SURPASS-3 in Korean patients: LSM HbA1c reductions of 2.75%–3.25% and body weight reductions of 6.8%–10.9% across all tirzepatide doses at 40–52 weeks. PMID 40954943 Lee BW et al. Efficacy and safety in tirzepatide-treated Korean adults with type 2 diabetes. Diabetes Obes Metab. 2025.
- Phase 3 RCT in youth (10–<18 years): pooled tirzepatide reduced HbA1c by mean 2.23% vs +0.05% with placebo (ETD -2.28%; p<0.0001) over 30 weeks; BMI reduced by 7.4% (5 mg) and 11.2% (10 mg) vs 0.4% placebo. PMID 40975112 Hannon TS et al. Efficacy and safety of tirzepatide in children and adolescents with type 2 diabetes (SURPASS-PEDS). Lancet. 2025.
- Obesity / overweight — weight management Human RCT
- Phase 3 RCT in 1032 participants with obesity and prediabetes over 176 weeks: mean body weight change -12.3% (5 mg), -18.7% (10 mg), -19.7% (15 mg) vs -1.3% placebo (p<0.001 all). Progression to T2D: 1.3% tirzepatide vs 13.3% placebo (HR 0.07). PMID 39536238 Jastreboff AM et al. Tirzepatide for Obesity Treatment and Diabetes Prevention (SURMOUNT-1, 3-year). NEJM. 2025.
- Phase 3b open-label RCT (751 participants without T2D): tirzepatide MTD achieved -20.2% vs semaglutide MTD -13.7% weight change at 72 weeks (p<0.001); tirzepatide superior for all weight-loss thresholds (≥10%, ≥15%, ≥20%, ≥25%). PMID 40353578 Aronne LJ et al. Tirzepatide As Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5). NEJM. 2025.
- Phase 3b RCT: continuing tirzepatide MTD achieved -21.9% body weight from baseline to week 112 vs -9.9% with placebo; reducing to 5 mg achieved -16.6% (all p<0.0001). PMID 42119587 Horn DB et al. Tirzepatide for maintenance of bodyweight reduction (SURMOUNT-MAINTAIN). Lancet. 2026.
- Meta-analysis of 7 RCTs (4795 individuals): significant dose-dependent weight loss vs placebo — MD -8.07% (5 mg), -10.79% (10 mg), -11.83% (15 mg) in percent body weight; also significant BMI and waist circumference reductions. PMID 38850440 Qin W et al. Efficacy and safety of once-weekly tirzepatide for weight management: meta-analysis. Endocrine. 2024.
- Phase 3 RCT in Japanese adults (n=225): estimated treatment differences vs placebo of -16.1% (10 mg) and -21.1% (15 mg) in body weight at 72 weeks; 94% (10 mg) and 96% (15 mg) achieved ≥5% weight reduction vs 20% placebo. PMID 40031941 Kadowaki T et al. SURMOUNT-J: tirzepatide in Japanese patients with obesity. Lancet Diabetes Endocrinol. 2025.
- Diabetes prevention in obesity with prediabetes Human RCT
- Over 176 weeks, 1.3% of tirzepatide-treated vs 13.3% of placebo participants with prediabetes progressed to T2D (HR 0.07, 95% CI 0.0–0.1; p<0.001). Effect was maintained at 17-week off-treatment assessment (2.4% vs 13.7%; HR 0.12). PMID 39536238 Jastreboff AM et al. Tirzepatide for Obesity Treatment and Diabetes Prevention (SURMOUNT-1). NEJM. 2025.
- Cardiometabolic risk factor reduction (blood pressure, lipids, inflammatory markers) Human RCT
- 7 RCTs: tirzepatide reduced systolic BP by -4.20 mmHg (5 mg), -5.34 mmHg (10 mg), -5.77 mmHg (15 mg); reduced total cholesterol, LDL, triglycerides; increased HDL at all doses. PMID 37700437 Kanbay M et al. Effect of tirzepatide on blood pressure and lipids: meta-analysis of RCTs. Diabetes Obes Metab. 2023.
- Meta-analysis of 7 RCTs + 1 observational study: tirzepatide reduced hsCRP (MD -32.9%, 95% CI -33.6 to -32.2) and IL-6 (MD -17.8%, 95% CI -24.3 to -11.3) vs placebo across all doses studied. PMID 41032183 Masson W et al. Anti-inflammatory effects of tirzepatide: systematic review and meta-analysis. Rev Endocr Metab Disord. 2026.
- Individual participant data meta-analysis of 7 phase 3 RCTs (7,805 participants with T2D): tirzepatide reduced odds of metabolic syndrome by 72% (OR 0.28, 95% CI 0.24–0.33) and elevated BMI by 96% (OR 0.04) over median 41 weeks. PMID 40368575 Aminorroaya A et al. Effects of Tirzepatide in Type 2 Diabetes: Individual Variation and Relationship to Cardiometabolic Outcomes. JACC. 2025.
- Heart failure with preserved ejection fraction (HFpEF) Human observational
- Cohort study emulating SUMMIT trial (11,257 tirzepatide vs sitagliptin): tirzepatide associated with HR 0.42 (95% CI 0.31–0.57) for composite of HF hospitalization or all-cause mortality vs sitagliptin. No meaningfully lower risk vs semaglutide (HR 0.86, 95% CI 0.70–1.06). PMID 40886075 Krüger N et al. Semaglutide and Tirzepatide in Patients With Heart Failure With Preserved Ejection Fraction. JAMA. 2025.
- Cardiovascular outcomes in overweight/obesity with ASCVD (without diabetes) Human observational
- Retrospective cohort (10,625 per matched cohort): semaglutide was associated with significantly greater reductions in rMACE-3 (HR 0.71 vs tirzepatide; p=0.046) and rMACE-5 (HR 0.78; p=0.040) compared with tirzepatide in patients with ASCVD without diabetes. PMID 41491349 Wilson L et al. Semaglutide and tirzepatide effects on cardiovascular outcomes in people with overweight or obesity (STEER). Diabetes Obes Metab. 2026.
- Obstructive sleep apnea (OSA) with obesity Human observational
- TriNetX propensity-matched cohort (21,150 per group): tirzepatide associated with lower all-cause mortality (HR 0.443), MACE (HR 0.731), and major adverse kidney events (HR 0.427) vs lifestyle intervention in OSA + obesity. PMID 40254150 Wu JY et al. Clinical Impact of Tirzepatide on Patients With OSA and Obesity. Chest. 2025.
- Renal outcomes — albuminuria reduction in type 2 diabetes Human RCT
- 8 RCTs (9,533 participants): tirzepatide significantly reduced urine albumin-to-creatinine ratio vs controls (MD -26.9%; 95% CI -34.76 to -19.04; p<0.001); effect maintained across all doses 5/10/15 mg with dose-response relationship; neutral effect on eGFR. PMID 38116693 Karakasis P et al. Effect of tirzepatide on albuminuria and renal function in T2DM: systematic review and meta-analysis. Diabetes Obes Metab. 2024.
- Diabetic retinopathy — retinal outcomes Human observational
- Retrospective cohort (102,590 per matched group): tirzepatide associated with decreased risk of DR (HR 0.79), DME (HR 0.82), VH/RD (HR 0.66), DR-related vision-saving interventions (HR 0.65), and NAION (HR 0.45) vs non-GIP GLP-1 RAs over 36 months. PMID 41655764 Hong AT et al. Ocular Outcomes with Tirzepatide versus GLP-1 Receptor Agonists in Type 2 Diabetes. Ophthalmology Retina. 2026.
- Retrospective cohort (3,435 tirzepatide-exposed matched 1:1): tirzepatide significantly associated with new-onset PDR (OR 2.15, 95% CI 1.24–3.74; p<0.01), especially in those with mild NPDR with maculopathy or moderate-to-severe NPDR. Also associated with reduced odds of new-onset retinopathy in those without baseline PMID 40637847 Buckley AJ et al. Early worsening of diabetic retinopathy with tirzepatide: real-world cohort study. Diabetologia. 2025.
- Body composition changes (fat mass, lean mass, muscle) Human RCT
- DXA substudy (n=160 of SURMOUNT-1): tirzepatide produced -21.3% body weight, -33.9% fat mass, -10.9% lean mass vs -5.3%, -8.2%, -2.6% placebo at 72 weeks; ~75% of weight lost was fat mass and ~25% lean mass for both groups. PMID 39996356 Look M et al. Body composition changes during weight reduction with tirzepatide in SURMOUNT-1. Diabetes Obes Metab. 2025.
- Post hoc MRI substudy (n=246): tirzepatide significantly reduced muscle fat infiltration (mean -0.36 pp, p<0.0001), muscle volume (-0.64 L, p<0.0001), and muscle volume Z score (-0.22, p<0.0001) at 52 weeks; reductions in muscle fat infiltration were greater than population-based estimates. PMID 40318682 Sattar N et al. Tirzepatide and muscle composition changes in T2D (SURPASS-3 MRI). Lancet Diabetes Endocrinol. 2025.
- Hidradenitis suppurativa Human observational
- Open-label single-center study (n=20 adults): 80% (16/20) achieved HiSCR at week 24; improvements in DLQI, pain VAS, and PGA scores observed; treatment well tolerated. Single-center, modest sample size limitation. PMID 41329144 Acosta-Madiedo AS et al. Open-Label Proof of Concept Study of Tirzepatide for Moderate to Severe Hidradenitis Suppurativa. JDD. 2025.
- Metabolic dysfunction-associated steatotic liver disease (MASLD) / hepatic steatosis Animal studies only
- In diabetic mice: tirzepatide reduced body weight, improved insulin resistance, decreased serum and hepatic lipid levels, mitigated liver injury, and showed superior efficacy vs semaglutide in reducing hepatic lipid accumulation; modulated gut microbiota and bile acid metabolism. PMID 39752752 Hu W et al. Dual GIP and GLP-1 receptor agonist tirzepatide alleviates hepatic steatosis and modulates gut microbiota and bile acid metabolism in diabetic mice. Int Immunopharmacol. 2025.
- Atherosclerosis — mechanistic/anti-atherosclerotic potential Mixed
- Review: tirzepatide can reduce inflammatory changes in atherosclerosis; fundamental mechanism not completely clarified. Targeting obesity, T2D, and linked inflammation may reduce risk for atherosclerosis development/progression. PMID 40972917 Al-Kuraishy HM et al. The mechanistic role of tirzepatide in atherosclerosis: A review. Int J Biol Macromol. 2025.
- SURMOUNT-1 post hoc (n=2,461 without ASCVD history): relative change in 10-year predicted ASCVD risk at week 72 was -23.5% to -16.4% with tirzepatide vs +12.7% with placebo (p<0.001). PMID 37932236 Hankosky ER et al. Tirzepatide reduces predicted risk of ASCVD in SURMOUNT-1 post hoc analysis. Diabetes Obes Metab. 2024.
- Type 1 diabetes (off-label, overweight/obese patients) Human observational
- Retrospective single-center study (n=62 T1D patients prescribed tirzepatide, followed 1 year): average 18.5% weight loss; HbA1c decreased by 0.67% at 1 year; improved CGM metrics; no hospitalizations for severe hypoglycemia or DKA. Off-label use; large prospective RCT recommended. PMID 38512447 Garg SK et al. Efficacy and Safety of Tirzepatide in Overweight and Obese Adult Patients with Type 1 Diabetes. Diabetes Technol Ther. 2024.
- Parkinson's disease — neuroprotection Animal studies only
- MPTP-induced PD mice: tirzepatide ameliorated loss of tyrosine hydroxylase protein in substantia nigra, improved mitochondrial ultrastructure and ATP content, reduced Drp1 expression, reversed mitophagy-related protein expression. No statistically significant difference from one-third dose vs semaglutide or levodopa. PMID 40886502 Tian R et al. GLP-1/GIP dual agonist tirzepatide alleviates mice model of Parkinson's disease by promoting mitochondrial homeostasis. Int Immunopharmacol. 2025.
- Post-sleeve gastrectomy weight recurrence Human observational
- Retrospective cohort (n=45 tirzepatide, n=70 semaglutide post-SG): tirzepatide associated with 15.5% weight loss from baseline to 6 months vs 10.3% with semaglutide (p<0.02); no severe adverse events reported. PMID 38430320 Jamal M et al. Semaglutide and Tirzepatide for Management of Weight Recurrence After Sleeve Gastrectomy. Obes Surg. 2024.
Community-reported dosing
| Route | Dose | Frequency / Duration | Population / context | Source tier |
|---|---|---|---|---|
| subcutaneous injection | 5 mg, 10 mg, or 15 mg once weekly | 176 weeks | human | Research PMID 39536238 |
| subcutaneous injection | Maximum tolerated dose (10 mg or 15 mg) once weekly | 72 weeks | human | Research PMID 40353578 |
| subcutaneous injection | Maximum tolerated dose (10 mg or 15 mg) or reduced to 5 mg once weekly (weight maintenance phase) | 52-week weight maintenance period after 60-week open-label weight-loss period (112 weeks total) | human | Research PMID 42119587 |
| subcutaneous injection (single-dose pen) | 5 mg or 10 mg once weekly | 30 weeks (double-blind) + 22 weeks open-label extension | human | Research PMID 40975112 |
| subcutaneous injection | 10 mg or 15 mg once weekly | 72 weeks | human | Research PMID 40031941 |
| subcutaneous injection | Titrated to maximum tolerated dose once weekly | 24 weeks (+ 8-week washout) | human | Research PMID 41329144 |
| subcutaneous injection | Mean 5.6 ± 1.9 mg at 3 months; 9.7 ± 3.3 mg at 1 year (once weekly) | 1 year | human | Research PMID 38512447 |
| subcutaneous injection | 5 mg, 10 mg, or 15 mg once weekly | 52 weeks | human | Research PMID 40318682 |
| subcutaneous injection | 5 mg, 10 mg, or 15 mg once weekly | Range across 8 RCTs | human | Research PMID 38116693 |
| Not explicitly stated (animal model) | Not explicitly stated in abstract (tirzepatide used in diabetic mouse model) | Not explicitly stated | animal | Research PMID 39752752 |
| Not explicitly stated (animal model) | Not explicitly stated; one-third dose comparison to semaglutide and levodopa mentioned | Subacute model | animal | Research PMID 40886502 |
| Not explicitly stated | Not explicitly stated for clinical trial arm (phase 1 trial NCT04081337) | Not explicitly stated | human | Research PMID 40203836 |
| subcutaneous injection | 2.5 mg | once weekly | Adults beginning tirzepatide for weight loss or metabolic health, including both prescription users and gray-market compounded users | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 5 mg | once weekly | Adults who have completed 4 weeks at 2.5 mg with acceptable GI tolerance | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 7.5 mg | once weekly | Adults escalating through the standard titration schedule; frequently a maintenance dose for moderate weight loss | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 10 mg | once weekly | Adults seeking aggressive weight loss who have tolerated lower doses; common among higher-BMI users | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 12.5 mg | once weekly | Adults pursuing maximal weight loss who have tolerated 10 mg; typically higher-body-weight individuals | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 15 mg | once weekly | Adults seeking maximum pharmacological effect for severe obesity or metabolic disease; biohackers chasing maximum weight loss | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 2.5 mg | once weekly | Users who have achieved goal weight and are using minimal dose to maintain; 'microdosers' in the biohacker community | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 5 mg | once weekly | Users who have reached goal weight and are dose-reducing to the lowest effective maintenance dose | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 2.5 mg | once every 2 weeks | Cost-conscious users; users managing supply shortages; biohackers experimenting with minimal-effective-dose frequency reduction | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 5 mg | once every 2 weeks | Users stepping down frequency rather than dose; cost-conscious compounded tirzepatide users | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
| subcutaneous injection | 2.5 mg | once weekly | Users restarting tirzepatide after a drug holiday or extended pause | [S] Claude Sonnet 4.6 — synthesized from aggregate training data |
Tier key: Research = PMID-cited study · [C] = scraped community source · [S] = model-synthesized from aggregate community reports (softer evidence). How we source.
References
- [1] PMID 38388874 — In phase III SURPASS trials, once-weekly subcutaneous tirzepatide was superior to dulaglutide 0.75 mg, semaglutide 1 mg, and basal/prandial insulin for glycemic
- [2] PMID 38613667 — Network meta-analysis of 28 RCTs (23,622 participants): tirzepatide 15 mg reduced HbA1c by mean difference -21.61 mmol/mol (-1.96%) vs placebo; all tirzepatide
- [3] PMID 38252888 — Post hoc of SURPASS-2: tirzepatide 5/10/15 mg led to greater increases in HOMA2-B (96.9–120.4%) and greater reductions in HOMA2-IR (15.5–24.0%) vs semaglutide 1
- [4] PMID 40954943 — Post hoc analysis of SURPASS-AP-Combo and SURPASS-3 in Korean patients: LSM HbA1c reductions of 2.75%–3.25% and body weight reductions of 6.8%–10.9% across all
- [5] PMID 40975112 — Phase 3 RCT in youth (10–<18 years): pooled tirzepatide reduced HbA1c by mean 2.23% vs +0.05% with placebo (ETD -2.28%; p<0.0001) over 30 weeks; BMI reduced by
- [6] PMID 39536238 — Phase 3 RCT in 1032 participants with obesity and prediabetes over 176 weeks: mean body weight change -12.3% (5 mg), -18.7% (10 mg), -19.7% (15 mg) vs -1.3% pla
- [7] PMID 40353578 — Phase 3b open-label RCT (751 participants without T2D): tirzepatide MTD achieved -20.2% vs semaglutide MTD -13.7% weight change at 72 weeks (p<0.001); tirzepati
- [8] PMID 42119587 — Phase 3b RCT: continuing tirzepatide MTD achieved -21.9% body weight from baseline to week 112 vs -9.9% with placebo; reducing to 5 mg achieved -16.6% (all p<0.
- [9] PMID 38850440 — Meta-analysis of 7 RCTs (4795 individuals): significant dose-dependent weight loss vs placebo — MD -8.07% (5 mg), -10.79% (10 mg), -11.83% (15 mg) in percent bo
- [10] PMID 40031941 — Phase 3 RCT in Japanese adults (n=225): estimated treatment differences vs placebo of -16.1% (10 mg) and -21.1% (15 mg) in body weight at 72 weeks; 94% (10 mg)
- [11] PMID 37700437 — 7 RCTs: tirzepatide reduced systolic BP by -4.20 mmHg (5 mg), -5.34 mmHg (10 mg), -5.77 mmHg (15 mg); reduced total cholesterol, LDL, triglycerides; increased H
- [12] PMID 41032183 — Meta-analysis of 7 RCTs + 1 observational study: tirzepatide reduced hsCRP (MD -32.9%, 95% CI -33.6 to -32.2) and IL-6 (MD -17.8%, 95% CI -24.3 to -11.3) vs pla
- [13] PMID 40368575 — Individual participant data meta-analysis of 7 phase 3 RCTs (7,805 participants with T2D): tirzepatide reduced odds of metabolic syndrome by 72% (OR 0.28, 95% C
- [14] PMID 40886075 — Cohort study emulating SUMMIT trial (11,257 tirzepatide vs sitagliptin): tirzepatide associated with HR 0.42 (95% CI 0.31–0.57) for composite of HF hospitalizat
- [15] PMID 41491349 — Retrospective cohort (10,625 per matched cohort): semaglutide was associated with significantly greater reductions in rMACE-3 (HR 0.71 vs tirzepatide; p=0.046)
- [16] PMID 40254150 — TriNetX propensity-matched cohort (21,150 per group): tirzepatide associated with lower all-cause mortality (HR 0.443), MACE (HR 0.731), and major adverse kidne
- [17] PMID 38116693 — 8 RCTs (9,533 participants): tirzepatide significantly reduced urine albumin-to-creatinine ratio vs controls (MD -26.9%; 95% CI -34.76 to -19.04; p<0.001); effe
- [18] PMID 41655764 — Retrospective cohort (102,590 per matched group): tirzepatide associated with decreased risk of DR (HR 0.79), DME (HR 0.82), VH/RD (HR 0.66), DR-related vision-
- [19] PMID 40637847 — Retrospective cohort (3,435 tirzepatide-exposed matched 1:1): tirzepatide significantly associated with new-onset PDR (OR 2.15, 95% CI 1.24–3.74; p<0.01), espec
- [20] PMID 39996356 — DXA substudy (n=160 of SURMOUNT-1): tirzepatide produced -21.3% body weight, -33.9% fat mass, -10.9% lean mass vs -5.3%, -8.2%, -2.6% placebo at 72 weeks; ~75%
- [21] PMID 40318682 — Post hoc MRI substudy (n=246): tirzepatide significantly reduced muscle fat infiltration (mean -0.36 pp, p<0.0001), muscle volume (-0.64 L, p<0.0001), and muscl
- [22] PMID 41329144 — Open-label single-center study (n=20 adults): 80% (16/20) achieved HiSCR at week 24; improvements in DLQI, pain VAS, and PGA scores observed; treatment well tol
- [23] PMID 39752752 — In diabetic mice: tirzepatide reduced body weight, improved insulin resistance, decreased serum and hepatic lipid levels, mitigated liver injury, and showed sup
- [24] PMID 40972917 — Review: tirzepatide can reduce inflammatory changes in atherosclerosis; fundamental mechanism not completely clarified. Targeting obesity, T2D, and linked infla
- [25] PMID 37932236 — SURMOUNT-1 post hoc (n=2,461 without ASCVD history): relative change in 10-year predicted ASCVD risk at week 72 was -23.5% to -16.4% with tirzepatide vs +12.7%
- [26] PMID 38512447 — Retrospective single-center study (n=62 T1D patients prescribed tirzepatide, followed 1 year): average 18.5% weight loss; HbA1c decreased by 0.67% at 1 year; im
- [27] PMID 40886502 — MPTP-induced PD mice: tirzepatide ameliorated loss of tyrosine hydroxylase protein in substantia nigra, improved mitochondrial ultrastructure and ATP content, r
- [28] PMID 38430320 — Retrospective cohort (n=45 tirzepatide, n=70 semaglutide post-SG): tirzepatide associated with 15.5% weight loss from baseline to 6 months vs 10.3% with semaglu
- [29] PMID 40203836 — Not explicitly stated for clinical trial arm (phase 1 trial NCT04081337) Not explicitly stated (human)
- [30] PMID 37070418 — in-prose reference
- [31] PMID 41923370 — in-prose reference
- [32] PMID 38994609 — in-prose reference
- [33] PMID 38356317 — in-prose reference
- [34] PMID 41465455 — in-prose reference