A Study to Investigate Weight Management With LY3841136 and Tirzepatide (LY3298176), Alone or in Combination, in Adult Participants With Obesity or Overweight With Type 2 Diabetes

Prior treatment

• Have a history of severe hypoglycemia or hypoglycemia unawareness within the last 6 months prior to screening
• Have any of the following cardiovascular conditions within 6 months prior to screening:
  • acute myocardial infarction
  • cerebrovascular accident (stroke)
  • unstable angina, or
  • hospitalization due to congestive heart failure
• All concomitant medications should be at a stable dose for at least 3 months prior to screening
  • W8M-MC-CWMM
• Have a prior or planned surgical treatment for obesity, except prior liposuction or abdominoplasty, if performed \>1 year prior to screening.

Other illness

• Have an on-going or history of bradyarrhythmia and/or sinus bradycardia
• Have a history of acute or chronic pancreatitis
• Have type 1 diabetes mellitus, latent autoimmune diabetes in adults, or history of ketoacidosis or hyperosmolar coma.
• Have poorly controlled hypertension.
• Have a history of symptomatic gallbladder disease within the past 2 years
• Have signs and symptoms of any liver disease other than nonalcoholic fatty liver disease.
• Have a lifetime history of suicide attempts.

Lab values

• Have renal impairment measured as estimated glomerular filtration rate (eGFR) \<45 milliliters per minute (mL/min)/1.73 m2
• Have fasting triglycerides \>500 milligrams per deciliter (mg/dL) (5.7 mmol/L) at screening

Other

• W8M-MC-LAA2
• Have an elevated resting pulse rate (mean \>100 beats per minute (bpm)) or reduced resting pulse rate (mean \<60 bpm) at screening

• W8M-MC-LAA2
• Have a Body Mass Index (BMI) of ≥27 kilograms per square meter (kg/m²)
• Have Type 2 Diabetes
• Have a HbA1c ≥7.0 % (53 millimoles/mole (mmol/mol)) to ≤10.5% (91 mmol/mol) and treated with diet and exercise alone or with a stable dose of metformin (and not more than the locally approved dose) with or without a sodium-glucose cotransporter 2 (SGLT2) inhibitor for at least 3 months prior to screening
  • W8M-MC-CWMM:
• Have had a stable body weight for the 3 months prior to randomization (\<5% body weight gain and/or loss)