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Other TNF blockers can also weaken it

Thomas MK, Nikooienejad A, Bray R, Cui X, Wilson J, Duffin K, Milicevic Z, Haupt A, Robins DA (2021) Dual GIP and GLP-1 receptor agonist tirzepatide improves beta-cell function and insulin sensitivity in type 2 diabetes

Over-the-counter painkillers remain appropriate for managing GLP-1 headaches when used according to package instructions

It's almost never the rep range
