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Fumarate, or fumaric acid, is a naturally occurring organic acid that serves as a direct intermediate in the Krebs cycle (also known as the Citric Acid Cycle or TCA cycle)
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[2] Tirzepatide, the active ingredient in Mounjaro, is a dual GIP/GLP-1 receptor agonist that mimics two hormones: GLP-1 and GIP, giving it a combined effect on appetite, blood sugar control and fat metabolism
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Frequently Asked Questions Sources & References Primary: Eli Lilly press release (Dec 11, 2025) TRIUMPH-4 topline
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