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Ethics declarations Competing interests THP receives research support from the Novo Nordisk A/S, his household holds stocks in Novo Nordisk A/S and he has received counseling fees from Eli Lilly and Zealand Pharma

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Financially strained patients increasingly pay cash: IQVIA reported half of GLP-1 fills were cash-paid (2024) ( [11] )

The current retatrutide availability landscape is evolving, and understanding the distinction between pharmaceutical grade medications and research peptides is critical for anyone considering this transition