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Additionally, studies that included the use of tirzepatide in combination with interventions likely to significantly affect LDL levels, such as other anti-obesity medications (e.g., orlistat, GLP-1 receptor agonists, bupropion), statins, other lipid-lowering therapies (e.g., ezetimibe, fibrates, PCSK9 inhibitors), or bariatric surgery, were excluded if these interventions were part of the study's primary focus, intervention strategy, or explicit patient selection criteria

They found this other hormone that was similar to GLP-1 in the Gila monsters venom

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