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Activated Kupffer cells secrete pro-inflammatory mediators, including tumor necrosis factor- (TNF-), interleukin-1 (IL-1), and interleukin-6 (IL-6), which amplify hepatic inflammation and stimulate HSCs ( Figure 1 T2DM is defined by systemic insulin resistance and chronic hyperglycemia, both of which are closely intertwined with hepatic lipid accumulation ( Figure 2 )

Atherosclerosis, hypertension, and dyslipidemiaconditions commonly present in patients prescribed tirzepatideimpair blood flow to penile tissues
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reported a mean weight reduction of 5 kg and a BMI decrement of 2 kg/m 2 in patients with T2DM after 5 years of Liraglutide treatment, supporting the durability of weight reduction with prolonged GLP-1RA therapy [182]

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