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J Neuroinflamm (2018) 15:140

It contains tirzepatide , the same active ingredient found in the brand-name drugs Zepbound and Mounjaro

Porporato PE, Filigheddu N, Reano S, Ferrara M, Angelino E, Gnocchi VF, Prodam F, Ronchi G, Fagoonee S, Fornaro M, Chianale F, Baldanzi G, Surico N, Sinigaglia F, Perroteau I, Smith RG, Sun Y, Geuna S, Graziani A (2013) Acylated and unacylated ghrelin impair skeletal muscle atrophy in mice

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This is a common source of under-dosing that people rarely consider