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Nature 503 , 111114 (2013)

Zepbound is chemically identical to Mounjaro, containing the same active ingredient at the same strength, but it is marketed under a different name when used for weight-loss treatment

The efficacy data at these doses is limited, but some users report noticeable appetite suppression even at low doses due to the triple-agonist mechanism

Ramping up production takes years

Biochem Pharmacol 155:264274

Possible side effects include: Nausea, diarrhea, vomiting, constipation, mild to moderate abdominal pain, headache, fatigue, dyspepsia, dizziness, abdominal distension, belching, hypoglycemia, flatulence, gastroenteritis, loss of lean muscle mass and gastroesophageal reflux disease