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GLP-1 medications are eliminated through renal pathways, and reduced kidney function affects both drug tolerance and the risk of complications particularly dehydration-related acute kidney injury, which can occur when GI side effects (nausea, vomiting) reduce fluid intake

In another exploratory analysis of SURPASS-3 MRI, comparing SURPASS-3 participants with sex- and body mass index-matched virtual control groups, treatment with tirzepatide was related to reduced liver fat content and VAT, but abdominal subcutaneous adipose tissue increased at week 52 among participants from the SURPASS-3 MRI substudy [89]

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