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In addition, Tirzepatide also binds to GIP receptors on -cells to co-stimulate insulin secretion by upregulating intracellular cAMP levels via GPCR-signaling

As expected in our case, the supplementation with betaine and multi-vitamins resulted in a moderate decrease in the level of total plasma homocysteine and normalization of plasma methionine, that were associated with the disappearance of psychosis and leukoencephalopathy and the recovery of motor functions

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