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The most recently approved type, tirzepatide [archived link], is called a dual agonist because it mimics the effects of two gut hormones, GLP-1 and GIP (glucose-dependent insulinotropic polypeptide)

doi: 10.1016/S0021-9258(19)36565-2 8 LauJBlochPSchafferLPetterssonISpetzlerJKofoedJet al

While GLP-1 based therapies are highly effective at managing weight reduction, gastrointestinal (GI) side effects, including nausea (2544 %), diarrhea (1932 %), vomiting (825 %), constipation (1223 %) and abdominal pain (510 %), were common in pivotal Phase 3 studies, although generally transient in nature [[40], [41], [42],46]

They contain sixteen vitamins and minerals, including B-vitamins and calcium