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Chronic stress and intense noise can lead to overstimulation of both the sympathetic nervous system and the HPA axis, enhancing the production of catecholamines, glucocorticoids, and adrenocorticotropic hormone (ACTH) (303, 304)

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Pittman says he educates other doctors about diabetes and GLP-1 medications

2023 Jan 20;63:359-382.

Efficacy superiority The superior therapeutic efficacy of tirzepatide over approved selective GLP-1 analogs was reported recently 17,39 , whereas the outcome of clinical trials on peptide 20 is not available in the literature