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In a single piece, he concisely captures: the state of the field the most important clinical trials where the pipeline is headed These Clinical trials are raising the bar and expanding future treatment options: Retatrutide ~24% weight loss (triple agonist) MariTide 1216% weight loss (GLP-1 + GIP antagonist) CagriSema up to 20% weight loss + ~2% HbA1c drop Orforglipron oral GLP-1, HbA1c 1.5%, weight 7.6% IcoSema weekly semaglutide + once-weekly insulin Even more exciting

GLP-1 receptor agonism glucose-dependent insulin secretion GIP receptor agonism additional insulinotropic and adipose signaling Glucagon receptor agonism hepatic energy expenditure and lipolysis Balanced tri-agonism energy expenditure alongside reduced energy intake Fatty-acid conjugation albumin binding and extended plasma half-life Core Areas of Scientific Investigation Multi-Receptor Agonist Design: it is studied as a model for balancing potency across three receptors within one peptide sequence without producing unopposed glucagon signaling

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This does not mean GLP-1 medications treat addiction directly

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