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doi: 10.1152/ajpcell.00041.2018 122 QadriMJayGDZhangLXRichendrferHSchmidtTAElsaidKA

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When combined with insulin or sulfonylureas, there is an increased risk of hypoglycaemia, and doses of these medications may need adjustment

Furthermore, tirzepatide increased the levels of miR-212 and miR-29c, microRNAs that regulate gene expression linked to neuronal survival and function