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Retatrutide's Phase 2 trial data (Jastreboff et al., NEJM 2023) identified a side-effect profile broadly consistent with other incretin-based therapies: Gastrointestinal : Nausea, vomiting, diarrhoea, and constipation were the most commonly reported adverse effects, particularly during dose escalation

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NNMT's job: Take nicotinamide (a NAD+ precursor) and methylate it essentially tagging it for disposal

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the risk is lower than after malabsorptive procedures as no bowel is bypassed

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