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most comprehensive single molecule Tirzepatide, the dual agonist, produced about 20.9% weight loss at its top dose in SURMOUNT-1 ( Jastreboff et al., NEJM 2022 ) and strong glycemic control in the SURPASS program ( Fras et al., NEJM 2021 )

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Adequate fiber and fluid intake can help, though finding the right balance can be challenging when also dealing with nausea

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In 2026, access is not a secondary consideration in GLP-1 therapy

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