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"Triple-Hormone-Receptor Agonist Retatrutide for Obesity A Phase 2 Trial." N Engl J Med

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The impact of KD on ROS and reactive nitrogen species (RNS) ROS are a group of chemically reactive molecules derived from molecular oxygen that arise primarily as byproducts of mitochondrial oxidative phosphorylation, although they can also be generated by enzymatic systems such as NADPH oxidases, xanthine oxidase, and cytochrome P450 enzymes [63]

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Another meta-analysis of the same seven trials similarly reported that GLP-1RAs significantly reduced MACE, with a number needed to treat (NNT) to prevent one MACE of 73 (95% CI 45212) ( Reasons that have been postulated to account for the lack of positive effect in the ELIXA trial are the different trial populations (such that biological processes after an acute coronary event may be less amenable to modification than those relating to general atherosclerosis) and the short duration of action of lixisenatide (insufficient GLP-1 receptor stimulation over the 24-hour dosing period) ( What Is the Place of GLP-1RAS in the Guidelines for Patients With Diabetes and Cardiovascular Disease

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