In the STEP 1 semaglutide trial (Wilding et al., NEJM , 2021) and the SURMOUNT-1 tirzepatide trial (Jastreboff et al., NEJM , 2022), nausea affected roughly 44% of semaglutide patients and about 24% of tirzepatide patients at the maximum dose
In other words, when combined with a slow metabolism, expression of ALDH2*2, the ALDH gene with low metabolic activity, and expression of the ADH1B*2 and CYP2E1*5B variants that cause increased production of acetaldehyde, could be responsible for damage to cells
CRP is an acute-phase protein primarily synthesized in hepatocytes under the regulation of IL-6, and its plasma concentration varies depending on the intensity, duration, and cytokine profile of the inflammatory response 48
It is never appropriate to compare across studies due to different doses, different study designs, different patient groups and other confounding factors, but in the table and figures below are comparisons of the dual agonist LY3298176, Trulicity (dulaglutide), Ozempic (semaglutide) and oral semaglutide