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Mechanism of Action Comparison# Retatrutide# Retatrutide (LY3437943) is a 39-amino acid synthetic peptide that simultaneously activates three metabolically important receptors: GLP-1 receptor : Enhances glucose-dependent insulin secretion, suppresses glucagon, slows gastric emptying, and reduces appetite through hypothalamic and brainstem signaling GIP receptor : Potentiates insulin secretion, may improve beta-cell survival, and contributes to adipose tissue metabolism and central appetite regulation Glucagon receptor : Increases hepatic energy expenditure, promotes fatty acid oxidation in the liver, stimulates thermogenesis in brown adipose tissue, and enhances lipolysis The glucagon receptor component is the defining innovation

These do not interact with GLP-1 pathways

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The water strategy: Sipping small amounts of alkaline or room-temperature water throughout the day (rather than drinking large volumes at meals) dilutes stomach acid gently without increasing gastric volume at any single point