Ingredients: Water, Glycerin, Caprylic/Capric Triglyceride, Butylene Glycol, Methylpropanediol, Niacinamide, Tranexamic Acid, Dipropylene Glycol, Phenyl Trimethicone, 1,2Hexanediol, Butyrospermum Parkii (Shea) Butter, Cetearyl Alcohol, Dicaprylyl Carbonate, Polyglyceryl2 Stearate, Polysorbate 60, Glyceryl Stearate, Stearyl Alcohol, Sorbitan Sesquioleate, Sodium Polyacrylate, Stearic Acid, Lactose, Ammonium Acryloyldimethyltaurate/VP Copolymer, Microcrystalline Cellulose, Palmitic Acid, Betaine, Caprylic/Capric Triglyceride, Ethylhexylglycerin, Sodium Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Propanediol, Allantoin, Adenosine, Polyisobutene, Tocopherol, Hydrogenated Lecithin, Disodium EDTA, Astaxanthin, CI 77491, Tocopheryl Acetate, Phytosteryl/Octyldodecyl Lauroyl Glutamate, Arachidic Acid, Caprylyl/Capryl Glucoside, Sorbitan Oleate, Ceramide NP, Eriobotrya Japonica Leaf Extract, Theobroma Cacao (Cocoa) Extract, Myristic Acid, Oleic Acid, Glutathione, Hydroxypropyl Methylcellulose, Mentha Viridis (Spearmint) Extract, CI 14700, Ascorbic Acid, Sodium Hyaluronate, Dextrin.

Ludolph et al., 1992
There is no requirement to separate the administration of these medications, though the delayed gastric emptying effect of tirzepatide is a reason to monitor clinical response rather than routinely separating doses
The cycle -glutamyl allows GSH to be used as a continuous source of cysteine