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Key findings from our study: Tirzepatide 15 mg and CagriSema demonstrated the greatest overall weight reduction CagriSema showed the strongest performance at the 20% weight loss threshold Higher efficacy was generally accompanied by increased gastrointestinal adverse events Serious adverse events remained broadly comparable to placebo across regimens As obesity medicine rapidly evolves toward multi-pathway and combination therapies, comparative evidence like this becomes increasingly important for individualized treatment decisions and future guideline development

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3.7 GRADE assessment In the GRADE assessment, the HR effects for nonfatal stroke and UA hospitalization were downgraded to moderate due to imprecision [no statistically significant results and total event counts below the optimal information size (OIS) threshold]

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The trial participant did not exhibit symptoms typically associated with liver damage, but lab tests revealed heightened liver enzyme levels, which can signal potential liver injury

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