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Madikonda, P
There are many potential/partial explanations for this difference: Tirzepatide is a dual agonist (for GIP/GLP-1), making it an arguably more structurally complex molecule and less tenable for recombinant expression (though both are linear peptides with a side chain)
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Most patients are able to continue treatment with the right adjustments
Lipotropic+B12 injections are typically used as a complement to diet, exercise, and medical supervision
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