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what is the difference between tirzepatide and compounded tirzepatide

what is the difference between tirzepatide and compounded tirzepatide A Guide to : r/tirzepatidecompound What Is Compounded Tirzepatide? FDA

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The reduction in MACE observed in treatment with GLP-1RAs is mainly driven by a significant reduction in fatal or non-fatal stroke, but also a significant reduction in risks for CV death and fatal or non-fatal myocardial infarction (15), suggesting that GLP-1RAs may exert their cardioprotective effects through anti-atherosclerotic mechanisms