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Both are problematic

Effect of tirzepatide versus insulin degludec on liver fat content and abdominal adipose tissue in people with type 2 diabetes (surpass-3 MRI): A substudy of the randomised, open-label, parallel-group, phase 3 surpass-3 trial

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Jansson, Effects of GIP on regional blood flow during normoglycemia and hyperglycemia in anesthetized rats

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