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It does not produce anabolic effects like a steroid would

ACTH suppression and circadian normalization: Studies by Graf and colleagues (referenced in Ekman 1985 and subsequent reviews) reported that DSIP suppresses ACTH-stimulated cortisol release and appears to normalize disrupted circadian patterns

The reported parameter F/S can be interpreted as the GLP-1R affinity for clathrin structures

Pharmacologically, signaling studies demonstrate that tirzepatide mimics the actions of native GIP at the GIP receptor but shows bias at the GLP-1 receptor to favor cAMP generation over -arrestin recruitment, coincident with a weaker ability to drive GLP-1 receptor internalization compared with GLP-1