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According to clinical trials published in the New England Journal of Medicine, Zepbound shows slightly higher rates of GI effects at higher doses: nausea (31-33%), diarrhea (21-23%), and vomiting (12-20%)

The molecule is the same

Semaglutide and tirzepatide are both designed to mimic hormones that your body already makes

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Most tirzepatide formulations remain stable for 2830 days after dispensing when refrigerated between 3646F, though individual vial stability depends on the specific compounding protocol and preservative system used