3 units of semaglutide / Cyanocobalamin Injection 10 Units of Semaglutide Is

Tirzepatide, a newer medication, is a dual agonist since it acts on both the GLP-1 and glucose-dependent insulinotropic polypeptide receptors

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Insulin exerts a synergistic effect with gonadotropins on both granulosa and theca cells: hyperinsulinemia amplifies luteinizing hormone (LH) signaling and upregulates the expression of steroidogenic enzymes, thereby promoting ovarian and adrenal androgen synthesis

Melson E, Ashraf U, Papamargaritis D, Davies MJ