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Conclusion: Platelet activity, as measured by MPV and IPF, is significantly higher and correlates with glycemic control in T2DM patients when compared to healthy nondiabetic controls

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While tirzepatide does not directly target these pathways, the metabolic improvements and weight reduction it facilitates may indirectly support healthier reproductive hormone profiles

References Moiz A, Filion KB, Tsoukas MA, Yu OH, Peters TM, Eisenberg MJ

In particular, the RefluxStop method, which I have further developed (more than 200 operations to date in Bern), has an excellent success rate even in difficult cases, with significantly fewer side effects