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pubmed.ncbi.nlm.nih.gov JAMA

In contrast, Zepbound, a form of tirzepatide, operates as a dual agonist for both the glucose-dependent insulinotropic polypeptide (GIP) and the GLP-1 receptor, promoting insulin secretion and sensations of satiety

Never use a GLP-1 medication beyond its expiry date or recommended in-use period , even if it has been continuously refrigerated, as the active ingredient may degrade and lose potency