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Between August 2021 and mid-July 2024, the FDA had reviewed 288 reports of adverse patient reactions to compounded semiglutide and 108 such reports for tirzepatide

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Nevertheless, uncritical enthusiasm is unwarranted given the pervasive heterogeneity of existing trials, the profound dependence of therapeutic effects on formulation characteristics, and the inherent limitations of predominantly short-duration interventions in a disease defined by decades of progressive metabolic deterioration