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Competing interests The authors take full responsibility for the content and conclusions stated in this manuscript
Tirzepatide, a dual GIP/GLP-1 receptor agonist, has a slightly different receptor activity profile and may be tolerated differently, though gastrointestinal side effects remain common
Compounded medications are sourced from FDA-registered 503A or 503B compounding pharmacies
From the gut compartment, the dose first enters the liver where some of it is metabolized and conjugated, and the rest enters the general circulation from where it is taken up by liver and tissues or excreted in the urine
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