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As an important coenzyme, it is required by every cell in the body and influences in particular: blood formation, nerve protection, cell division, DNA synthesis, neurotransmitter production, energy generation and the protein metabolism

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By increasing the expression of Vascular Endothelial Growth Factor (VEGF), it creates a richer blood supply in areas that are traditionally dead zones for circulation, like the ACL or the Achilles tendon [2, 7]

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Researchers and clinicians using it do so based on extrapolation from animal data and accumulating clinical experience rather than proven efficacy in humans

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While menstrual irregularities and spotting are not listed as direct side effects in the official Mounjaro prescribing information, there are several plausible biological mechanisms through which tirzepatide may indirectly influence the menstrual cycle

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