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The short answer is that both medications can produce significant weight loss, but retatrutide appears to lead to greater average weight reduction in clinical studies because it targets three hormone receptors involved in metabolism rather than one

J Basic Clin Pharm 7(2):2731

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The female mice (homozygous for Hba tm1(HBA)Tow and heterozygous for Hbb tm2(HBG1,HBB*)Tow and Hbb tm3(HBG1,HBB)Tow [h/h:: A / S ], sickle-cell trait mice) and male mice (homozygous for both Hba tm1(HBA)Tow and Hbb tm2(HBG1,HBB*)Tow [h/h:: S / S ], sickle SCD mice) were bred to generate SCD mice