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Larger prospective trials, stratified by hormone formulation, route of delivery, timing of initiation, and baseline metabolic health, will be required to establish causality, characterize which women benefit most, and track outcomes across the full range of health domains this article has examined

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However, this outcome fell short of the anticipated 25% weight reduction, potentially limiting its competitive edge against Eli Lillys ZEPBOUND, which reported up to 20.9% weight loss in the SURMOUNT-1 trial. In the subsequent REDEFINE 2 trial, which focused on adults with obesity or overweight and type 2 diabetes, CagriSema achieved a 15.7% mean weight loss after 68 weeks, compared to 3.1% with placebo