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Current evidence indicates that tirzepatide substantially improves body composition in individuals with obesity and T2DM, with its predominant effect characterized by a preferential reduction in fat massparticularly visceral and ectopic fatwhile overall lean mass is relatively preserved
There's not enough evidence to say whether ALA is effective for these purposes
Glycemic Efficacy, Weight Effects, and Safety of Once-Weekly GLP-1 Receptor Agonists
Effect of a synthetic pineal tetrapeptide (Ala-Glu-Asp-GLy) on melatonin secretion by the pineal gland of young and old rats
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