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Other Oral GLP-1 Options: Liraglutide (Saxenda): Injectable only (not oral) Daily injections required Older GLP-1 medication Less effective than semaglutide or tirzepatide Not available in oral form Dulaglutide (Trulicity): Injectable only (not oral) Once-weekly injection Primarily for diabetes Not available in oral form Exenatide (Byetta, Bydureon): Injectable only (not oral) Twice daily or once weekly depending on formulation Older GLP-1 medication Not available in oral form Bottom Line on Current Options: If you want an oral GLP-1 medication right now, Rybelsus is your only option, but its significantly less effective for weight loss than injections

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Additional questions include how to mitigate lean muscle mass loss, which is important for joint stability, and whether adding glucose-dependent insulinotropic polypeptide or glucagon receptor activation could offer advantages over GLP-1 agonists on their own

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In a Phase II trial, retatrutide demonstrated a mean weight reduction of over 17.5% in adults without diabetes but with obesity or pre-obesity, marking a significant advancement in weight management therapies

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