The 0.25 mg dose was designed as a tolerability ramp, not a therapeutic endpoint
Its research profile makes it especially relevant for studies focused on metabolic flexibility, mitochondrial energy output, exercise-related signaling, cardiometabolic models, fatty acid utilization, and cellular energy demand
But its a short-term effect
Rosenstock noted that 37% of the orforglipron 36 mg group was able to reach an HbA1c of 5.7% or less at 1 year, a figure he described as amazing. We became familiar with tirzepatide [Mounjaro, Eli Lilly] with this concept of HbA1c of 5.7%, but this is impressive, Rosenstock said
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