Abbreviations ADA: Adenosine deaminase ADVANCE: Action in Diabetes and Vascular Disease: Preterax and Diamicron MR Controlled Evaluation Afib: Atrial fibrillation BNP: Brain natriuretic peptide cAMP: Cyclic adenosine 3,5-monophosphate CI: Confidence interval CKD: Chronic kidney disease CVD: Cardiovascular disease CVOTs: Cardiovascular outcome trials DPP-4: Dipeptidyl peptidase-4 DPP-4i: DPP-4 inhibitor eGFR: Estimated glomerular filtration rate FDA: Food and Drug Administration GAS: Interferon-gamma-activated sequence GIP: Glucose-dependent insulinotropic polypeptide GLP-1: Glucagon-like peptide-1 GLP-1R: GLP-1 receptor GLP-1RAs: Glucagon-like peptide-1 receptor agonists HbA1c: Glycated hemoglobin HDL: High-density lipoprotein HF: Heart failure HNF-1: Hepatocyte nuclear factor-1 HR: Hazard ratio hs-CRP: High-sensitivity C-reactive protein IL-12: Interleukin-12 IVUS: Intravascular ultrasound LDL: Low-density lipoprotein LVEF: Left ventricular ejection fraction MACE: Major adverse cardiovascular events MI: Myocardial infarction MMPs: Matrix metalloproteases PAI-1: Plasminogen activator inhibitor-1 PCI: Percutaneous coronary intervention PKA: Protein kinase A PWV: Pulse wave velocity SGLT-2i: Sodium/glucose cotransporter-2 inhibitors STAT1: Signal transducer and activator of transcription 1 T1DM: Type 1 diabetes mellitus T2DM: Type 2 diabetes mellitus TGF-: Transforming growth factor- TLR4: Toll-like receptor 4 TNF-: Tumor necrosis factor- TRIF: TIR-domain-containing adapter-inducing interferon- UKPDS: United Kingdom Prospective Diabetes Study VLDL: Very low-density lipoprotein References Rao Kondapally Seshasai S, Kaptoge S, Thompson A, Di Angelantonio E, Gao P, Sarwar N, et al

The primary adverse effects associated with its use are gastrointestinal issues
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Malabsorption due to digestive disorders, such as Crohns disease or celiac disease, can also lead to vitamin B12 deficiency
Effect of subcutaneous tirzepatide vs placebo added to titrated insulin glargine on glycemic control in patients with type 2 diabetes: The SURPASS-5 randomized clinical trial: The SURPASS-5 randomized clinical trial