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(d) elevated systolic blood pressure equal to or greater than 130 or elevated diastolic blood pressure equal to or greater than 85 or on drug therapy for hypertension, (e) elevated fasting glucose level equal to or greater than 100 mg/dL or on drug therapy for hyperglycemia/diabetes)

Retatrutide acts through entirely different mechanisms involving GLP-1, GIP, and glucagon receptors

In addition, recent studies indicate that some GLP1R agonists, such as liraglutide, semaglutide, and dulaglutide, exert cardiovascular and renal benefits, and are endorsed for use in patients with these complications

Finally, I describe a specific clinical protocol in which patients are guided into states of anxiety while learning to suppress compulsive responses, retraining the brain to break the OCD cycle