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Tirzepatide can affect hormonal balance in ways that indirectly influence bladder function

"Multi-parameter in vitro toxicity testing of crizotinib, sunitinib, erlotinib, and nilotinib in human cardiomyocytes"

2017 Aug;69(8):578-594 Longo N, Frigeni M, Pasquali M

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For instance, its action on ghrelin (the hunger hormone) does not cause hunger or increase other hormones like cortisol (the stress hormone) and prolactin