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The D-retro-inverso design replaces all L-amino acids with D-amino acids and reverses the sequence a structural strategy that preserves the side-chain topology of the original FOXO4 binding region while making the peptide resistant to proteolytic degradation, dramatically extending plasma half-life compared to the natural L-form

LH, Luteinizing Hormone

Retatrutide is not currently approved by Health Canada or any regulatory agency for any indication