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One possibility is that as tirzepatide helps regulate blood sugar and metabolism, it may indirectly influence muscle function or electrolyte balance

Metabolism of non-transferrin bound iron produces reactive oxygen species that contributes to the cellular dysfunction and apoptosis of enterocytes [53] and results in damage to the TJ complexes and leakage of LPS and (1 3)--d-glucan (BG), a major component of the fungal cell wall into the circulation [54]

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Folate and neural tube defects: The role of supplements and food fortification