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Introduction# CagriSema (cagrilintide + semaglutide, Novo Nordisk) and tirzepatide (Eli Lilly) represent the pinnacle of next-generation obesity pharmacotherapy, both achieving approximately 20% weight loss through different dual-mechanism approaches

In the present investigation, peak IGF-1 levels were seen in stage 4 CVMI at T1 and in stage 3 CVMI at T2 which was similar to previous studies 22,23,25,26,27,30,31 whereas Masoud et al

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Other daily medications included omeprazole, famotidine, paroxetine, bupropion, and buspirone