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Paired-pulse facilitation, a form of local circuit plasticity that enhances the second stimulus response by reducing local GABAergic inhibition, was changed at early intervals, but not at later ones ( in vivo hippocampal LTP in area CA1
Most study protocols used once-weekly subcutaneous injections with step-up titration every few weeks to improve tolerability
Bottom Line Here's what the data tells us: GI side effects dominate: nausea, diarrhea, vomiting, constipation Higher efficacy = slightly higher side effects at maximum doses Glucagon adds benefits: liver fat reduction, increased energy expenditure Slow escalation helps: 20+ week titration minimizes symptoms Still investigational: Phase 3 trials ongoing, FDA decision expected 2025-2026 Sources Retatrutide Phase 2 Trial (Jastreboff et al., NEJM 2023) TRIUMPH Phase 3 Trial (ClinicalTrials.gov) ClinicalTrials.gov Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice