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Stage 4: Advanced gout (chronic tophaceous gout) This is a stage of chronic gouty arthritis, in which there are lumps of uric acid, or tophi (see Figure 2: Illustration of Toe Joint With Gouty Tophus ), frequent attacks of acute gout, and often a degree of pain even between attacks (see Figure 3: Progression of Gout )

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Advantage : CagriSema Side Effect Profile# CagriSema : GI adverse events in 79.6% of CagriSema group vs 39.9% placebo in REDEFINE 1

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