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widely used off-label for significant weight loss Average weight loss: Up to 21% Notable facts: Dual-actiontargets both GLP-1 and GIP hormones for enhanced effectiveness Zepbound (tirzepatide) Approved for: Chronic weight management Released in: November 2023 Common use today: FDA-approved specifically for obesity Average weight loss: Up to 22% Notable facts: One of the most effective medications currently available for weight loss Saxenda (liraglutide 3 mg) Approved for: Weight management in adults and adolescents (12+) Released in: December 2014 Common use today: An older GLP-1 medication option for obesity Average weight loss: About 58% Notable facts: Requires daily injections, unlike newer weekly alternatives Rybelsus (oral semaglutide) Approved for: Type 2 diabetes Released in: September 2019 Common use today: The only oral GLP-1 medication currently available Average weight loss: Approximately 510%, depending on dosage Notable facts: Ideal for those uncomfortable with injections CagriSema (cagrilintide + semaglutide) Status: Currently in Phase III trials (not yet FDA-approved) Average weight loss: Up to 20% in clinical trials Notable facts: Combines GLP-1 agonist semaglutide with amylin receptor agonist cagrilintide for enhanced weight-loss results Orforglipron (oral GLP-1) Status: FDA submission expected by late 2025 Average weight loss: Around 8% (approximately 16 pounds) in clinical studies Notable facts: Small-molecule oral GLP-1 agonist

GLP-1 and GLP-1 RA (such as Exenatide and Liraglutide) were shown to have an anti-inflammatory action by reducing monocyte adhesion and macrophage accumulation, thus stabilizing atherosclerotic plaque, and slowing atherosclerosis in animal models [47,48,49]

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Feb 2004;13(2):205-12