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May be appropriate for peptides when oral is ineffective but pulmonary is unsuitable due to lung disease or other factors

Retatrutide TRIUMPH-1 (2023) and TRIUMPH-2 (2024) TRIUMPH-1 (Jastreboff et al., NEJM 2023): 338 non-diabetic adults with obesity, 48 weeks at escalating doses: 12 mg dose: 24.2% weight loss 8 mg dose: 22.8% 4 mg dose: 17.5% Placebo: 2.1% TRIUMPH-2 (Rosenstock et al., Lancet 2024) confirmed effects in T2D patients with concurrent NAFLD improvement (hepatic fat reduction 54% at 24 weeks, 12 mg dose)

Refrigeration in the recommended temperature range 36F to 46F or 2C to 8C is essential for compounded semaglutide to maintain its effectiveness and stability