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If your primary research goal is maximum weight reduction and you are willing to manage more side effects to get there, retatrutide is the strongest monotherapy option available
In contrast to the CV outcomes trials with GLP-1RAs, those with DPP-4 inhibitors demonstrated consistent non-inferiority in both the primary composite outcome and individual components compared to placebo, and even showed some unexpected increases in risk of hospitalization for HF, acute pancreatitis, and hypoglycemia [31,32,33,34]
Older users may need longer protocols to achieve comparable results
Ann Rheum Dis, 52: 720-724
Zhu, J., Huang, X