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"Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trial." Nature Medicine

Some patients who required insulin achieve good control without it

Targeting 0.7-1.0 grams of protein per pound of goal body weight helps preserve lean mass
La insulina acta como un factor de crecimiento en el cerebro y apoya la reparacin neuronal, la formacin de dendrticas y la sinaptognesis, y la proteccin contra el estrs oxidativo

And, there are some things you can do to limit or ease the nausea to make it more manageable