semaglutide vs tirzepatide results outperformed weight-loss drug in real world patients, study shows How Long to See Weight
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In the SURPASS-2 study, TZP at the dose of 5, 10, and 15 mg were compared to the GLP-1RA semaglutide (1 mg once weekly) in patients not well controlled in therapy only with metformin (44, 71)

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The concern lies in how this drug impacts metabolic signals during the development of a fetus