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Abbreviations T2DM: Type 2 Diabetes Mellitus GLP1: Glucagon-like peptide1 GIP: Glucose-dependent insulinotropic polypeptide HbA1c: Hemoglobin A1c GLP1RAs: Glucagon-like peptide1 receptor agonists GIPR: Glucose-dependent insulinotropic polypeptide receptor GLP1R: Glucagon-like peptide1 receptor CVD: Cardiovascular Disease MACE: Major Adverse Cardiovascular Event HF: Heart Failure HFrEF: Heart Failure with Reduced Ejection Fraction HFpEF: Heart Failure with Preserved Ejection Fraction ASCVD: Atherosclerotic Cardiovascular Disease CVOTs: Cardiovascular Outcome Trials SA: Sinoatrial ICAM-1: Intercellular Adhesion Molecule 1 GDF15: Growth Differentiation Factor 15 CRP: C-reactive protein LPS: Lipopolysaccharide TLR4: Toll-like receptor 4 NLRP3: NOD-like receptor protein 3 TNF-: Tumor Necrosis Factor-alpha IL-1: Interleukin-1 beta IL-6: Interleukin-6 TUNEL: Terminal deoxynucleotidyl transferase dUTP nick end labeling BCAA: Branched-chain amino acids BCKA: Branched-chain ketoacids HOMA2-IR: Homeostasis Model Assessment of Insulin Resistance LDL: Low-Density Lipoprotein VLDL: Very Low-Density Lipoprotein BP: Blood Pressure References Willard FS, Douros JD, Gabe MB, Showalter AD, Wainscott DB, Suter TM, Capozzi ME, van der Velden WJ, Stutsman C, Cardona GR et al

Challenges ahead While this research is promising, scientists caution that its too soon to say if GLP-1 RAs are the solution for SUD
This phase is about avoiding backsliding, so little everyday habits such as planning meals, moving your body, and attending support group meetings matter
If you are a diabetic and your HgbA1C is 9.4% (average blood sugar of 223), taking 15mg of Mounjaro (tirzepatide) once a week could lower your HgbA1C could be 7% (average glucose of 154)