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Triggered by ghrelin receptor activation Can lead to unintended fat gain if unmanaged Typically subsides slightly over time MK-677 significantly increased appetite due to its ghrelin-mimetic properties, making it a double-edged sword for body composition. Patel et al., The Journal of Clinical Endocrinology & Metabolism 2

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For researchers choosing between the two most potent compounds in this class, retatrutide currently shows a 1.52 percentage-point weight-loss advantage over tirzepatide at comparable durations, but tirzepatide carries substantially more Phase 3 evidence and a confirmed MHRA authorisation [1][2]

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