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According to the Mounjaro PIL, the pen should be removed from the refrigerator and allowed to reach room temperature for approximately 30 minutes before injecting

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This might include eating on a schedule rather than waiting for hunger cues, since GLP-1 therapy specifically blunts those cues

TRANSCEND-T2D-1: Investigating use of retatrutide once weekly for ~40 weeks, in over 500 patients with inadequate glycemic control

Thus, semaglutide shows reduced -arrestin recruitment and receptor internalization compared to endogenous GLP-1
