Yurdagul, A., Finney, A
Tirzepatides added GIP receptor activation may amplify the insulin-sensitizing effect beyond what semaglutide achieves alone, which matters specifically when cortisol is driving the insulin resistance

More serious but less common adverse effects require clinical vigilance: Pancreatitis : Patients should be counselled to stop the medication and seek immediate medical attention if they experience severe, persistent abdominal pain radiating to the back [1] [5] Gallbladder disease : Rapid weight loss associated with GLP-1 therapy may increase cholelithiasis risk [1] Hypoglycaemia : Particularly when used alongside insulin or sulphonylureas in diabetes management Diabetic retinopathy : Semaglutide requires caution in patients with pre-existing retinopathy, who should be monitored regularly [1] Renal impairment : Dehydration from gastrointestinal side effects may affect kidney function Specific considerations for individuals with eating disorders include the potential for GLP-1 medications to exacerbate restrictive eating patterns or mask hunger cues in vulnerable individuals

In addition, a decrease in androgens/AR level in males with obesity and diabetes is often accompanied by mitochondrial dysfunction, as evidenced by a study showing that male rats experienced myocardial mitochondrial ROS accumulation and enhanced apoptosis after four weeks of castration, whereas these disorders did not occur until week eight in rats of the sham group (69)
Making this DIY serum is as simple as combining vitamin C and vitamin E with MCT oil
It has been shown to influence the expression of genes involved in angiogenesis (e.g., egr-1), stabilize endothelial integrity, and facilitate the recruitment of fibroblasts to injury sites 4