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Lastly there is balcinrenone (Astra Zeneca) which is not a classical MRA, but a mineralocorticoid receptor modulator
Slowed gastric emptying and suppressed ghrelin
If tirzepatide insomnia or semaglutide insomnia is an issue, avoid stimulating add-ins like cocoa powder or matcha, and keep the smoothie smaller than your morning portion to avoid lying down with a full stomach
