Talk with a licensed clinician about severe, persistent, unusual, or concerning symptoms
In addition, evidence suggests that GLP-1 RAs may increase pancreatic enzyme secretion, while the expression and subsequent stimulation of GLP-1 receptors in pancreatic islet and exocrine duct cells have been correlated with overgrowth of the ductal epithelial cells, resulting in hyperplasia and chronic low-grade or acute inflammation, potentially leading to pancreatitis [89]
In a post hoc analysis of the SURPASS-1 trial involving patients with T2DM, the percentage increase in adiponectin levels from baseline ranged from 16% to 23% with tirzepatide compared to a decrease of 0.2% with placebo at week 40 (190)
Potential side effects, even at lower doses, include nausea, mild digestive discomfort, and fatigue
Insulin resistance, visceral adiposity, gut permeability, and metabolic endotoxemia create a baseline inflammatory state that lowers the threshold for autoimmune flares