tirzepatide creatine safety and Tirzepatide: Safe to Combine? Maximizing Health on GLP-1 Medications:

In addition, the lower mRNA expression levels of Bax and P53 and the higher expression levels of Bcl2 and Bcl-xL were detected in the peroxynitrite + ebselen group compared with the peroxynitrite-only group, while the lack of GPX1 in SGNs from gpx1 / mice led to an opposite pattern (Figure 8D)

doi: 10.3390/ijms24054904 4 AllahK

I've been using the serum and a cream for a couple of years now

For patients who have an obesity issue and binge eating disorder, sometimes the binge eating will correct itself with the GLP-1 agonist, but not always, Garcia-Webb says

For lupus patients, GI symptoms deserve extra scrutiny because lupus can independently cause GI inflammation, gastroparesis, and serositis