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It contains the active ingredient semaglutide

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New data showed that seven out of the 403 participants who received retatrutide experienced arrhythmias (irregular heartbeats), and three treated participants experienced major cardiovascular complications, compared with none in the placebo group

Nat Commun 10(1):5711 Sunadome H, Matsumoto H, Izuhara Y et al (2020) Correlation between eosinophil count, its genetic background and body mass index: the Nagahama Study[J]

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In restricted states (Texas, Pennsylvania), youll need physician collaboration