Both agents affect glucose metabolism in opposing ways tesamorelin reduces insulin sensitivity whilst retatrutide enhances insulin secretion creating unpredictable glycaemic effects if combined
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Brand-name semaglutide products on the Canadian market include Ozempic, Wegovy and Rybelsus, while tirzepatide is sold as Mounjaro and Zepbound
Regarding eGFR trajectories, both drugs induced a slightly slower decline in eGFR compared to the placebo groups, which was more pronounced in people with moderate (eGFR 3059 mL/min/1.73 m 2 ) or severe (eGFR 50%, reaching ESKD, death from kidney disease or death from CVD