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Moreover, in a post hoc analysis of the SURPASS-4 randomized clinical trial, tirzepatide decreased albuminuria and total estimated glomerular filtration rate (eGFR) slopes and nearly halved the risk of a pre-specified composite kidney endpoint (eGFR decline 40%, renal death, kidney failure or new-onset macroalbuminuria) in participants with T2DM and high cardiovascular risk when compared with insulin glargine

Its principal function is to act as a cellular antioxidant, buffering lactic acid in muscles (delaying fatigue) and combating glycation, a process associated with aging and cell damage

if you want an oral option, MK-677 is worth discussing

Alpha-Lipoic Acid - Overdose and Toxicity