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Tirzepatide was approved by the FDA for A1c lowering in Type 2 Diabetes in May 2022 Although it has not yet been approved for obesity, tirzepatide demonstrated significant weight reduction when analyzed as the secondary outcome in the SURPASS trials and as the primary outcome in the SURMOUNT I trial

Clinics like ShedRx and Eden also straddle both sides, if you want a middle option

This is because the medication is FDA-approved for diabetes treatment