Tirzepatide did not impact metabolic adaptation in people with obesity, but increased fat oxidation

Apr 9, 2025Cell metabolism

Tirzepatide does not change metabolism adjustment in obesity but increases fat burning

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Abstract

Tirzepatide promoted significant body weight reduction in phase 3 clinical trials.

  • In calorie-restricted, obese mice, chronic tirzepatide treatment reduced the drop in energy expenditure compared to vehicle-treated and pair-fed mice.
  • Tirzepatide treatment was associated with increased fat oxidation as indicated by a decrease in the respiratory exchange ratio in mice.
  • In a phase 1 clinical trial, tirzepatide led to increased fat oxidation and reductions in appetite and calorie intake during an ad libitum test meal compared to placebo.
  • Chronic treatment with tirzepatide did not appear to impact metabolic adaptation in the clinical trial.

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