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This appears to involve a particular enzyme complex called mitochondrial complex I
REDEFINE 1: CagriSema in overweight or obesity, NEJM full text REDEFINE 1: PubMed 40544433 REDEFINE 2: CagriSema in type 2 diabetes and obesity, NEJM full text REDEFINE 2: PubMed 40544432 Phase 1b: cagrilintide co-administered with semaglutide 2.4 mg, The Lancet (2021) Phase 2: once-weekly cagrilintide dose-finding, The Lancet (2021) REDEFINE 1 trial record: NCT05567796 Phase 2 trial record: NCT03856047 Phase 1b trial record: NCT03600480 Novo Nordisk files for FDA approval of CagriSema: press release (Dec 2025) CagriSema regulatory history: Drugs.com The 0.25 2.4 mg four-week ladder is stated explicitly in both NEJM papers, for the fixed-dose combination pen
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