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b) have a body mass index (BMI) of at least 30

The Phase 3 TRIUMPH-4 trial (68 weeks) achieved average weight reductions of 28.7% at the 12 mg dose

At this stage, the most responsible way to phrase the issue is: Retatrutide may become part of a more advanced generation of metabolic medications, but muscle preservation still depends on the full treatment plan including protein intake, resistance training, dose management, nutrition quality, sleep, hormones, and medical monitoring

Instead, hold at the current dose, implement the management strategies described earlier, and give your body the full 2 weeks to adapt before deciding to step back