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You may be considering compounded tirzepatide, but it is important to note that, because these products are not approved by the FDA, they are not guaranteed to be as safe as a tirzepatide product that is FDA approved, like Zepbound or Mounjaro

In the ELIXA [66], EXSCEL [68], and PIONEER 6 [67,71] studies, treatments of exenatide twice-daily, exenatide once-weekly, and oral semaglutide groups were non-inferior to placebo in terms of CV disease safety, respectively

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Mantonico MV et al (2024) The acidic intrinsically disordered region of the inflammatory mediator HMGB1 mediates fuzzy interactions with CXCL12

This is justified by the findings of Vitek et al