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You have existing cardiac rate issues: The heart rate elevation associated with retatrutide's glucagon component is a real reason to stick with a dual-agonist

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Non-GLP-1 medications and structured lifestyle programs may also be options

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Paradoxically, this is when weight loss accelerates most dramatically

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Therefore, it is hypothesized that ghrelin synthesized within the hypothalamus, as opposed to gut-derived ghrelin, is the mediator of central orexigenic effects of ghrelin, although further research is needed 224

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