The main mechanism is activation of type I and III collagen synthesis (up to +70% according to Pickart 2018), elastin (+40%) and glycosaminoglycans, including hyaluronic acid (+60%)
In the SURMOUNT-3 trial, individuals who received tirzepatide after a comprehensive 12-week lifestyle intervention achieved a mean 25 % weight reduction, compared to 4.8 % in the placebo group [170], suggesting a benefit for staged lifestyle intervention with GLP-1s
doi: 10.1016/j.ophtha.2011.01.041
This includes routine check-ups, managing chronic conditions like diabetes and hypertension, and preventive care such as screenings and immunizations
J Pediatr Surg (2000) 35(6):84751.10.1053/jpsu.2000.6861 176 DruckerDJYustaBBousheyRPDeForestLBrubakerPL
GLP-1 also reduces appetite through central pathways