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GLP1s cut appetite, but the add-ons decide how much extra fat you actually lose. Cagrilintide pushes weight loss harder with semaglutide and tirzepatide, not with retatrutide. NAD, 5-Amino-1MQ, and MOTS-c all boost
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For example, in Glp1r Nes–/– mice, semaglutide loses its acute antiinflammatory effects against LPS-induced inflammation, yet tirzepatide still effectively prevents TNF-α induction, suggesting that tirzepatide does not rely exclusively on neuronal GLP-1R to exert this effect (22)