Demirel et al., 2022) (Figure 2)
Sattar N, Neeland IJ, Dahlqvist Leinhard O, Fernndez Land L, Bray R, Linge J, Rodriguez A (2025) Tirzepatide and muscle composition changes in people with type 2 diabetes (SURPASS-3 MRI): a post-hoc analysis of a randomised, open-label, parallel-group, phase 3 trial
Additionally, weight loss leads to reduced mechanical loading on the skeleton, which disrupts bone remodeling via mechanosensitive pathways
Pharmacometabolomics for the study of lipid-lowering therapies: opportunities and challenges
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Similarly, in SURMOUNT-4 (tirzepatide), participants completed a 36-week open-label lead-in to 10 or 15 mg, after which they were randomized to continue tirzepatide or switch abruptly to placebo