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While weight loss may provide significant joint symptom relief over time, this benefit typically emerges gradually over months as weight reduction accumulates

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DPP-4 converts BNP1-32 into its inactive form BNP3-32 (106) and can attenuate the diuretic and natriuretic effects of BNP1-32 (107)

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Several factors contribute to this inconsistency

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This step is essential, as both drugs are available by prescription only

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Trial data from STEP 4 (semaglutide) and SURMOUNT-4 (tirzepatide) show most of the weight is regained over 5288 weeks after discontinuation

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