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GLP-1 biosimilars are follow-on biologic or peptide therapeutics developed to demonstrate high similarity to approved GLP-1 receptor agonist drugs

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Target Engagement Retatrutide engages GLP 1R, GIPR, and GCGR through direct peptide receptor binding that mimics the interaction of endogenous incretin and glucagon peptides

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Retatrutide showed superior reductions in albuminuria, glomerular hypertrophy, and renal fibrosis markers

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A separate 2024 study of 290 adults with obesity given oral semaglutide for three months found that free T3 decreased, free T4 rose slightly, and TSH fell during treatment

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