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Interestingly, this observation is surprisingly similar to long-acting (acylated) GIPR agonists when co-injected with fatty-acyl GLP-1 (126)

J Health Psychol .;24(11):1595-612 Bates, G

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Put another way, how fast does tesamorelin work and tesamorelin time to work depend on the endpoint: early IGF-1 and lab-marker shifts can appear sooner, while the best-known VAT/body-composition outcome is a 26-week clinical trial endpoint