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doi: 10.1016/j.nut.2014.10.017 243 JiangWGongLLiuFRenYMuJ

After endocytotic uptake and retrograde transport through the Golgi and ER to the cytosol, the K28 -subunit is ubiquitinated and proteasomally degraded, and the -subunit exerts its lethal effect in the nucleus, blocking DNA synthesis, causing cell-cycle arrest in early S phase

Several theories exist about why tirzepatide might contribute to anxiety symptoms in certain individuals: Blood Sugar Fluctuations: Rapid changes in blood glucose levels can trigger symptoms like shakiness, sweating, and nervousness, which can mimic or exacerbate anxiety