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Smoking : Smoking can reduce the effectiveness of the lower esophageal sphincter

The dual hormone actions of Tirzepatide promote a natural reduction of calorie intake without experiencing extremes of hunger or overindulgence

doi: 10.1111/sms.12581 9 ZhangSXiaoXYiYWangXZhuLShenYet al

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This rebound effect is likely related to physiologic mechanisms triggered by weight reduction that induce compensatory changes in energy balance homeostasis, including increased appetite and reduced energy expenditure [1417]