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Retatrutide works like semaglutide (Ozempic and Wegovy) and tirzepatide (Mounjaro and Zepbound) to promote weight loss, but it acts at three receptors at once and exerts the following actions: GLP-1 receptor agonism As a glucagon-like peptide-1 (GLP-1) receptor agonist, retatrutide has the following effects: The medication increases insulin secretion and reduces glucagon secretion from the pancreas, which helps lower blood sugar levels