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A double-blind, randomized phase 2 study comparing various doses (1, 5, 10, 15 mg) of once weekly tirzepatide, dulaglutide (1.5 mg) and placebo, in patients with T2DM, showed tirzepatide was superior on weight loss and glucose-lowering compared to both dulaglutide and placebo [52]

Future studies should optimize treatment parameters, including formulation, dosage, timing of administration, and assessment of brain biodistribution and explore multi-target strategies combining redox modulation with interventions that directly engage synaptic plasticity, neurotrophic signaling or critical developmental windows, to achieve functional behavioral outcomes in ASD

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