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Here is the honest evidence status up front, because it shapes everything that follows: the human data on this combination is essentially non-existent

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The open-label design of REDEFINE 4 is worth noting

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For individuals with BMI above 30 or BMI above 27 with comorbidities, FDA-approved GLP-1 receptor agonists (semaglutide, tirzepatide) have far stronger evidence and produce dramatically greater weight loss

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doi: 10.1128/AAC.05879-11 99 LiuJ.MahmoodM

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