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While these compounds are structurally related to semaglutide base, they are not chemically identical

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Wang X, Lin S, Wang L, Cao Z, Zhang M, Zhang Y, et al

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The most frequently reported side effects across all tirzepatide clinical trials are gastrointestinal, including nausea (reported in 12-29% of participants depending on dose), diarrhea (12-16%), constipation , and decreased appetite