Tirzepatide for Metabolic Dysfunction-Associated Steatohepatitis with Liver Fibrosis

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MOTS-c vs Tesamorelin: Tesamorelin stimulates growth hormone release, which drives visceral fat reduction through a different pathway: increased GH increased IGF-1 direct lipolysis in visceral adipose tissue
The targeted reactivation of p53 distinguishes this peptide from systemic cytotoxic strategies
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Study population We included all patients registered as having type 2 diabetes in the National Diabetes Register who filled their first prescription for a GLP-1 receptor agonist, and, in a separate cohort, all patients registered as having type 2 diabetes in the National Diabetes Register who filled their first prescription for an SGLT2 inhibitor, between 1 January 2017 and 31 December 2021 (ensuring a minimum of 1-year follow-up until the end of the study period on 31 December 2022)