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This suppression is independent of plasma cholesterol changes and BW reduction through regulating markers of plaque instability and inflammation including those linked to plaque hemorrhage (CD163), matrix turnover (matrix metalloproteinase (MMP)-3, MMP-13), cholesterol metabolism (prostaglandin I2 synthase (PTGIS), ATP-binding cassette transporter 1 (ABCA1)), leukocyte recruitment (C-C motif chemokine ligand 2 (CCL2), osteopontin (OPN), interleukin (IL)-6), and leukocyte rolling, extravasation and adhesion (vascular cell adhesion molecule (VCAM)-1, E-selectin (SELE)) [16]

And they activate the same downstream pathways in the liver, fat tissue, and pancreas

This was the first study to systematically demonstrate that tirzepatide not only induces substantial weight loss but also shows improvements in sleep-disordered breathing among obese individuals

This effect may be particularly pronounced in patients experiencing rapid weight loss