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Health Canada review has historically trailed FDA approval by roughly 6 to 18 months for this drug class, which is where the late-2027-to-mid-2028 window comes from

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Mounjaro (tirzepatide), a newer dual GIP/GLP-1 receptor agonist, has shown comparable hair loss patterns in clinical trials, with approximately 5-6% of participants reporting alopecia as a side effect during periods of drastic weight loss [3]

They still have to do things like a certificate of analysis indicating where they get the raw ingredient from and do sterility testing. Also, make sure the supplying pharmacy is registered to do business in the state, Moore said