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J Clin Endocrinol Metab (2002) 87:2404.10.1210/jcem.87.1.8129 27 Perez-TilveDGonzalez-MatiasLAlvarez-CrespoMLeirasRTovarSDieguezCet alExendin-4 potently decreases ghrelin levels in fasting rats

However, smaller clinical reports and retrospective analyses show that men on both therapies often achieve greater reductions in body fat percentage compared to either drug alone, while preserving lean muscle mass better than semaglutide monotherapy would alone

Loftus, Timothy M