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doi:10.1093/clinchem/18.4.358

To determine whether decreased hepatic lipid accumulation could also be attributed to enhanced fatty acid -oxidation, we examined the expression of key enzymes involved in this pathway, including Cpt1a , Acadm (MCAD), Acadl (LCAD), and Acadvl (VLCAD)

Biol Chem 2009;390:191214 8

13 These findings are consistent with results from the SURPASS-1 trial, in which tirzepatide at all studied doses significantly improved HbA1c over 40 weeks without increasing hypoglycemia risk