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A mechanism of action phase 1 study showed that the glycemic efficacy of tirzepatide in T2DM results from concurrent improvements in key components of diabetes pathophysiology, including -cell function, insulin sensitivity, and glucagon secretion (135)

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According to the Cleland nomenclature the reaction should follow a uni-uni-bi-uni ping-pong mechanism 8,59 , although detailed kinetic studies to confirm the mechanism for EcGrx1 or the F