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Each pathway contributes a separate pharmacological signal: GLP-1 receptor agonism slows gastric emptying and reduces appetite signalling in the hypothalamus GIP receptor agonism enhances glucose-dependent insulin secretion and is associated in the literature with effects on lipid handling Glucagon receptor agonism increases energy expenditure and hepatic glucose output, the opposite direction to a glucagon antagonist, and is absent from every dual agonist currently on the UK market How retatrutide compares to dual agonists Tirzepatide (Mounjaro) is a GIP + GLP-1 dual agonist authorised by the MHRA for type 2 diabetes in 2023

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The Morton 2018 meta-analysis identified 1.6 g/kg as the plateau for muscle gain in resistance-trained adults [9], and the Helms 2014 evidence-based guidance for adults in a calorie deficit recommends 2.3 to 3.1 g per kg of fat-free mass [10] that is per kg of FFM, not total bodyweight, so for a leaner athlete it lands above the 2.0 g/kg total-BW number

The tissues were dewaxed and rehydrated through a series of xylene and ethanol changes