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In phase III: Semaglutide 2.4 mg (STEP-1): nausea 44.2%, diarrhea 31.5%, vomiting 24.8% Tirzepatide 15 mg (SURMOUNT-1): nausea 29.2%, diarrhea 23.0%, constipation 16.8% Retatrutide 12 mg (TRIUMPH-1): nausea 37.2%, vomiting 22.0%, diarrhea 27.1% Key observation: tirzepatide shows the most favorable GI profile at equivalent dose, likely tied to the GIP component dampening GLP-1-mediated nausea signaling at the brainstem level
Improved Gut Health This may aid conditions like ulcers and inflammatory bowel diseases
Mechanistically, valproate may cause somnolence by inhibiting the reuptake of GABA (and thereby potentiating GABA signaling in the brain)
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However, more women are now rejecting the outdated status quo