It appears that the question of direct versus indirect effects cannot be answered with the existing evidence
Alcohol Several studies investigating exendin-4, liraglutide, dulaglutide and semaglutide in rats and mice found a decrease in alcohol use, which was mediated by mesolimbic dopamine pathways involving the nucleus accumbens, the ventral tegmental area and the ventral hippocampus, the dorso-lateral septum, and the nucleus of the solitary tract 59,60,61,63,64,65,66,67,68,69,72,74,75,76,77,79,80,81,82,106
They address the metabolic dysfunction that drives type 2 diabetes in ways that insulin alone cannot
Maintaining adequate hydration becomes particularly important because dehydration can exacerbate common side effects, creating a problematic cycle
Do not panic A single dose of recently expired tirzepatide stored under proper conditions is unlikely to cause harm
Data resource profile: The Danish national prescription registry