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This is why all FDA-studied GLP-1 treatments use injection (bypassing digestion) or special oral formulations with absorption enhancers

If you are taking Tirzepatide and using oral hormonal contraceptives (birth control), Tirzepatide may decrease the efficacy of your birth control, especially after the first dose

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Both contain identical active pharmaceutical ingredients and are subject to FDA oversightbrand-name through FDA approval pathways and compounded versions through strict 503A pharmacy regulations