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Activation of GLP-1R also increases intracellular Ca 2+ through Ca 2+ release from the endoplasmic reticulum (ER) via the inositol 1,4,5 triphosphate receptors activated by PKA and the ryanodine receptors activated by Epac2 (9)

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Understanding how to maintain weight loss after tirzepatide requires a comprehensive strategy that some patients can implement with lower maintenance doses or careful weaning protocols