Retatrutide's Phase 2 trial data (Jastreboff et al., NEJM 2023) identified a side-effect profile broadly consistent with other incretin-based therapies: Gastrointestinal : Nausea, vomiting, diarrhoea, and constipation were the most commonly reported adverse effects, particularly during dose escalation
"Efficacy and Safety of Semaglutide Once Weekly Versus Insulin Glargine Once Daily as add-on to Metformin With or Without Sulphonylurea in Insulin-nave Subjects With Type 2 Diabetes (SUSTAIN 4)"
Essentially, the entire manufacturing process is inspected from start to finish and the medicine the process creates is tested for safety and effectiveness
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Original research focused primarily on those with diabetes, but a recent study found an increased risk of stomach paralysis for non-diabetic patients who used medications like Ozempic, Wegovy, Rybelsus, and Saxenda for weight loss