In primary cultures of mouse hepatocytes and in a murine hepatoma cell line, ghrelin has been shown to decrease LEAP2 mRNA levels via an AMPK-dependent pathway (138)
Additionally, 85%, 89%, and 91% of participants in the 5 mg, 10 mg, and 15 mg tirzepatide groups, respectively, achieved a 5% or more weight reduction, while only 35% of those on placebo did
If a plateau extends beyond 6 weeks and you are not yet at maximum dose, escalating to the next dose level is the standard approach
Lancet Diabetes Endocrinol 8(2):106114
While there are no strict dietary restrictions, its advisable to maintain a balanced diet to support the effectiveness of the medication and overall health
This can be OK for some people who may respond well and not need a more potent drug, or those with less body fat to lose