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We can infer safety from mechanism: tirzepatide is a 39-amino-acid synthetic peptide cleared primarily via proteolytic degradation and renal excretion

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2.3 Bidirectional neuroendocrine crosstalk In addition to regulating host metabolism and immune responses, the gut microbiota is recognized to play a critical role in the production of neurotransmitters and engages in complex bidirectional communication with the hypothalamicpituitarygonadal (HPG) axis, contributing significantly to the pathogenesis and potential treatment of PCOS