The retatrutide triple agonist GLP-1 GIP glucagon mechanism works through three parallel axes: GLP-1 receptor activation: Stimulates glucose-dependent insulin secretion from pancreatic beta cells, suppresses glucagon release from alpha cells, slows gastric emptying, and reduces appetite signalling in the hypothalamus
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Random-effects models (restricted maximum likelihood, REML) were fitted to estimate pooled log-HRs, which were then back-transformed for interpretability
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