Researchers also monitor tolerance or desensitization phenomena over time, as sustained agonism may reshape receptor trafficking
Additional information Peer review information Nature Communications thanks Birgitte Holst, Mohammed Hossain and the other, anonymous, reviewer(s) for their contribution to the peer review of this work
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Clinical trials published in 2025 established this combination as producing the highest weight loss observed with pharmaceutical interventions to date, with 60% of participants achieving at least 20% body weight reduction over 68 weeks
These mechanisms contribute to the substantial weight loss observed in clinical trials, with patients in the STEP 1 trial losing an average of 14.9% of body weight (compared to 2.4% with placebo) on the 2.4 mg weekly dose used for obesity management