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It acts in muscle, adipose tissue, and liver to turn on a set of genes essential for fatty acid oxidation, including the fatty acid transporters carnitine acyltransferases 1 and 2, the fatty acylCoA dehydrogenases for short, medium, long, and very long acyl chains, and related enzymes

But for many who are poor or in the lower middle class, spending hundreds of dollars a month on medicines isnt feasible

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This keeps side effects to a minimum, and it is not unusual for patients to experience some of the effects of tirzepatide, such as appetite reduction, in the early stages