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Although the serum MMA concentration reflects an intracellular cobalamin deficiency, other causes of elevated MMA must be considered, such as renal failure, reduced plasma volume reduction, and abnormalities in hepatic methyl-malonyl CoA mutase activity [15,47]

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however, these findings do not translate directly to humans and are used only to guide preclinical experimental design

At the 12mg dose, retatrutide reduced HbA1c by 2.2 percentage points over 36 weeks while simultaneously producing 16.9% body weight reduction a dual glycemic and metabolic benefit not observed at comparable levels with single or dual agonists

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