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Several mechanisms may contribute to the positive effects of GLP1RAs in preventing HF and influencing the outcomes for patients with either HFpEF or HFrEF

Sutalangka C et al

Of the two peptides only OXM was found to stimulate insulin secretion but its potency was too low to be of clinical benefit (Holst 2024

Tirzepatide versus insulin glargine in type 2 diabetes and increased cardiovascular risk (SURPASS-4): a randomised, open-label, parallel-group, multicentre, phase 3 trial

The significance value was set at 0.05

It isn't that the guarantee is fake - a 60-day window with a documented process is a real, fairly standard structure for this product category