retatrutide triple agonist glp-1 gip glucagon receptor LY3437943, a novel glucagon, GIP, and for glycemic control and weight loss: From discovery to clinical proof of concept Retatrutide: How the Triple Agonist
Description
Note that this is considered off label and risks reduced efficacy, fluctuating appetite control, weight regain, glycaemic deterioration and dosing errors

On the other hand a GLP1-ANP axis has been only demonstrated in hypertensive mice, in which GLP-1R activation in the atria leads to ANP secretion and stimulation of natriuresis and vasodilation in the consequence
The GLP-1 Revolution: How Next-Generation Obesity Drugs Are Reshaping Global Healthcare Obesity now affects more than 1 billion people globally, making it one of the most urgent public health and pharmaceutical market opportunities of this decade
Rowbottom, L., Stinson, J., McDonald, R., Emmenegger, U., Cheng, S., Lowe, J., Giotis, A., Cheon, P., Chow, R., Pasetka, M., et al
In the DUAL I trial, participants taking Xultophy required a lower average of 39 units of insulin per day, compared to 62 units for those on Tresiba alone

They usually happen when you first begin taking the drugs, a period when you are steadily increasing your dosage
