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From Eli Lilly, also the manufacturer of Mounjaro and Zepbound, Retatrutide is a GLP-1 (glucagon-like peptide-1) receptor agonist that also works on the hormones GIP (glucose-dependent insulinotropic polypeptide) and glucogen

Nattagh-Eshtivani E, Sani MA, Dahri M, Ghalichi F, Ghavami A, Arjang P, et al

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L-carnitine is an amino acid-like compound that plays a key role in energy metabolism by helping transport fatty acids into the mitochondria, which are converted into energy

It acts on both GLP-1 and GIP receptors, compared to semaglutides single GLP-1 action