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The intrinsic factor-mediated pathway operates regardless of food presence, and the passive diffusion mechanism (responsible for absorbing about 1% of high doses) similarly functions independently of meals

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This completely bypasses the digestive system, avoiding the very absorption issues that tirzepatide creates

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Tuersun A, Hou G, Cheng G (2024) Efficacy and safety of the combination or monotherapy with GLP-1 receptor agonists and SGLT-2 inhibitors in Type 2 diabetes mellitus: an update systematic review and meta-analysis

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