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1 mg dose: GI event rates only modestly above placebo stomach pain is uncommon at this level 4 mg (escalated from 1 mg): 60% GI events stomach pain begins to appear but is generally mild 4 mg (single dose, no escalation): 63.6% GI events higher than the escalated group, confirming that jumping to a dose causes more stomach pain than titrating up 8 mg (escalated): 57.5% GI events notably, lower than the 4 mg single-dose group because the body has adapted through gradual increases 12 mg (escalated): 66.7% GI events the highest rate, but most events were Grade 1-2 (mild to moderate) and transient The critical takeaway: gradual dose titration is the single most effective strategy for reducing stomach pain on retatrutide

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Medications including H-2 receptors and proton pump inhibitors can also help

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