do glp 1 drugs affect sex drive GLP-1 & Libido: Does Tirzepatide Drive? – Bolt Pharmacy Nobody Tells You What GLP-1s
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doi:10.1152/ajpendo.00069.2016 Gupta NA, Mells J, Dunham RM, et al

How is that even possible

Small-scale clinical trials revealed that GLP-1 and GLP-1-based medicines may have positive effects on low-grade inflammation, blood pressure, cholesterol, and microcirculation (34)

The enzyme is also known to be cleaved-off from the cell membrane (involving different metalloproteases in a cell-type specific manner, by a process called shedding) and thus to also exist in a circulating, soluble form (sDPP-4) [37]
