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Niemeier A, Niedzielska D, Secer R, Schilling A, Merkel M, Enrich C, Rensen PCN, Heeren J

For researchers using tirzepatide dosage in units protocols or tracking tirzepatide before and after results, the addition of niacinamide could theoretically improve outcomes, though this remains unproven in controlled trials

Because patients with known or CMR-based significant valvular abnormality other than MR were excluded, and echocardiographic data that was available in 67% of controls and 54% of MVP patients demonstrated right ventricular systolic pressures of 28 [2131] mmHg and 26 [1930] mmHg, respectively (data not shown), we speculate that tricuspid regurgitation or pulmonary hypertension do not explain these findings