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For people with T2D, a phase 2 trial with mazdutide (doses 3, 4.5 and 6 mg) has shown reduction in HbA1c (up to 1.7%) and up to 7.1% WL at 20 weeks (Table 3), while early phase trials for MASH are in progress [72]

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However, current American Diabetes Association (ADA) and American College of Cardiology/American Heart Association (ACC/AHA) guidelines no longer routinely recommend niacin for cardiovascular risk reduction due to lack of demonstrated outcome benefits and potential adverse effects