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Description
After a 4-week run-in period in which participants were treated with diet and exercise alone, those who fulfilled the randomisation criteria were randomised (1:1:1:1) using a web-based randomisation system to receive once-daily oral semaglutide 3 mg, 7 mg or 14 mg or placebo for 26 weeks (using a 4-week dose-escalation regimen for the higher doses)

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Cardiovascular Effects Dose-dependent increases in heart rate were observed with retatrutide: Heart rate increases peaked at approximately 24 weeks Gradually declined thereafter while remaining elevated above baseline This pattern is similar to that observed with other GLP-1 receptor agonists[4] The clinical significance of these heart rate changes requires further evaluation in larger and longer-term studies
Direct comparative validation of reta vs tirz and sema is a primary focal point in modern metabolic trials
Staying hydrated and eating slowly also helps try not to lie down immediately after eating

GLP-1 receptor agonists work by resetting appetite signals and improving metabolic efficiency, allowing meaningful weight loss without obsessive calorie restriction
