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In the retrospective study of Lautenbach et al., a mean weight loss of 10.3% with 85% of patients achieving a weight loss of 5% after 6 months GLP1-RA therapy was reported with semaglutide, 0.5 mg, weekly subcutaneous injection

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Recent investigations (20232025) have moved beyond simple association to elucidating precise molecular mechanisms, particularly involving the gut-pancreas axis, incretin hormone regulation, and the mitigation of systemic oxidative stress (434)

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Mechanism of action Activation of MC4R in the medial preoptic area and paraventricular nucleus increases dopamine release in the mesolimbic pathway, which is thought to mediate libido and sexual response independently of peripheral blood flow

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Peer review Peer review information Nature Communications thanks Sanjay Kalra, and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

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Compounded tirzepatide is prepared by FDA-registered, inspected compounding pharmacies, providing an alternative for those who may face supply issues with branded products

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