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pylori virulence factors (Urease, CagA, VacA and NAP)

Common causes include autoimmune conditions (Hashimotos), thyroid surgery, certain medications, iodine deficiency, and pituitary gland disorders

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In clinical trials, retatrutide achieved 24.2% weight loss at 48 weeks versus tirzepatide approximately 21% at 72 weeks, suggesting stronger overall appetite and metabolic effects