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500kcal deficit and increased physical activity and monthly follow-up contact), which patients in our cohort did not receive

When the patient is clinically stable, oral digoxin, ACE inhibitors and B-blockers (carvedilol) may be started

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By enhancing these signals, tirzepatide has been shown in clinical studies to support: Improved blood sugar regulation in adults with type 2 diabetes Weight management when paired with a balanced diet and regular physical activity Research indicates that tirzepatide may help increase feelings of fullness, reduce appetite, and support weight reduction

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This builds strength and contour beyond what voluntary training alone achieves during calorie deficit