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The observable consequence is the most potent weight- and glucose-lowering profile of any molecule approved before retatrutide: SURMOUNT-1 reported roughly 22.5% weight reduction at the 15 mg dose over 72 weeks 13, and SURMOUNT-5 showed tirzepatide superior to semaglutide 2.4 mg head-to-head at 72 weeks (20.2% vs 13.7%) 18
The combination offers a powerful one-two approach to gut healing and symptom stability
A 3-day delay (10 days between doses) is within the 4-day recovery window
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