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Tirzepatide adds GIP-receptor activation to semaglutide's GLP-1 mechanism, the dual-agonist advance covered in Semaglutide vs Tirzepatide

These changes can increase mechanical stress on certain areas of the foot, making them more vulnerable to nerve compression and discomfort
Khoury-Hanold W, Yordy B, Kong P, Kong Y, Ge W, Szigeti-Buck K, Ralevski A, Horvath Tamas L, Iwasaki A (2016) Viral spread to enteric neurons links genital HSV-1 infection to toxic megacolon and lethality
