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In a large phase 3 obesity trial (ACHIEVE-1), orforglipron at daily doses of 3, 12 and 36 mg caused approximately: Diarrhoea: 1926% of participants (vs 9% on placebo) Nausea: 1318% (vs 2% on placebo) Constipation: 817% (vs 4% on placebo) Vomiting: 514% (vs 1% on placebo) Across multiple studies, 617% of people stopped treatment because of side effects, mostly gut-related symptoms

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This table summarizes 1-year incidence of all-cause mortality and major adverse cardiovascular events (MACE) among RAGLP-1 RA versus RAnoGLP-1 RA cohorts, postpropensity score matching

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Indices of glycemic control, such as hemoglobin A1c, glycated albumin, and 1.5-anhydro-d-glucitol were significantly improved after a 3-month treatment with sitagliptin, and serum adiponectin level was significantly increased without changes of body weight [77]

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This is a question some patients taking tirzepatide have raised, particularly when experiencing new or unexplained symptoms during treatment

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