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Retatrutide (LY3437943), a novel triple agonist targeting glucose-dependent insulinotropic polypeptide, glucagon-like peptide-1 and glucagon receptors, has shown promise in early trials for managing these conditions

Indeed, germ-free mice exhibit reduced intestinal Glp1r expression and relative GLP-1 resistance (34) associated with elevated levels of circulating GLP-1 (36), consistent with an important role of the microbiota in determining GLP-1 sensitivity

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Both side effects on GLP-1 medications can become significant if fluid intake is inadequate