According to FDA labeling, the precise mechanism for weight loss is not fully understood
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PGC-1 affects the peroxisome proliferator-activated receptor (PPAR), which contains nuclear transcription factors PPAR- (liver), PPAR- (skeletal muscle) and PPAR- (adipocytes), that fulfil the function of regulating the expression of genes involved in adipose metabolism such as pyruvate dehydrogenase kinase 4 (PDK4), phosphoenolpyruvate carboxykinase (PEPCK), adiponectin, perilipin and 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 3 (PFKFB3), among others (Reference Nakamura, Yudell and Loor48,Reference Tometsuka, Koyama and Ishijima49)
What sets Tirzepatide apart is its strong impact on weight loss, which has been observed to surpass that of traditional GLP-1 receptor agonists