The renin-angiotensin-aldosterone system and its suppression
These observations, together with the fact that spine head size and geometry are associated with AMPA receptor content and maturation status (Matsuzaki et al., 2001), suggest that MET signaling may control many aspects of glutamatergic synapse development, including the timing of excitatory synapse maturation (Qiu et al., 2014)
Beyond weight loss, the mechanistic reasons these may help in T1D include: reduced glucagon output, reduced hepatic glucose output, improved satiety signalling, and slower gastric emptying (which can improve matching when handled carefully)
The bottom line is that ALC can improve energy and endurance in physical performance
Tirzepatide's dual GIP and GLP-1 receptor activation typically produces stronger appetite suppression than semaglutide's GLP-1-only mechanism