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Figure 1 The decreased levels of insulin, and increased levels of glucagon activates the hormone-sensitive lipase (HSL) involved in lipolysis and secretes non-esterified fatty acids (NEFAs) from fat cells ( -oxidation takes place in the mitochondria creating acetyl-CoA

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(3) changes in the serum levels of homocysteine, and (4) changes in the homeostasis model assessment of insulin resistance (HOMA-IR)

Compounded Semaglutide and Tirzepatide Compounded versions of these medications are often provided in multi-dose vials

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