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Preclinical studies have indicated that GLP1RAs, such as tirzepatide, may directly impact the vasculature by enhancing endothelial function and decreasing inflammation, which are important in preventing atherosclerosis[30]

Common side effects may include: Mild: Nausea, vomiting, diarrhea, fatigue, constipation Less Common: Acid reflux, dizziness, stomach pain Rare but Serious: Pancreatitis, gallbladder issues The good news is that side effects are usually mild and temporary

For patients who discontinued treatment during the study period, we used the day of treatment discontinuation (defined as the estimated end date of the most recent prescription plus the grace period of 90 days) as the start of follow-up to assess treatment reinitiation, defined as the first new prescription of the drug class that had previously been discontinued

It is well established that patients with diabetes demonstrate higher susceptibility to pancreatic cancer and pancreatitis compared to non-diabetic individuals, and theoretically, sustained GLP-1 receptor activation induced by GLP-1RA therapy may potentially elevate pancreatic cancer risk [8]