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Notably, tirzepatide observably increased the abundance of beneficial genera such as Akkermansia, elevated the ratio of farnesoid X receptor (FXR) antagonists (glycoursodeoxycholic acid: GUDCA, -muricholic acid: -MCA, hyodeoxycholic acid: HDCA, ursodeoxycholic acid: UDCA) to natural agonists (cholic acid: CA, lithocholic acid: LCA, chenodeoxycholic acid: CDCA, glycocholic acid: GCA, taurodeoxycholic acid: TDCA), and reduced FXR expression in intestinal tissues

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2,35 In addition to its role as a byproduct of purine metabolism, uric acid is recognized for its multifaceted effects, which include antioxidant, pro-oxidant, pro-inflammatory, nitric oxide regulation, immune system interactions, and anti-aging properties