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The Ipamorelin component is a compact pentapeptide with molecular formula C38H49N9O5 and an average molecular weight of approximately 711.9 g/mol, sequence Aib-His-D-2-Nal-D-Phe-Lys-NH2

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Accidental exposure to tirzepatide in early pregnancy is not known to cause birth defects based on current data, but the medication is not recommended during pregnancy

The paper synthesises existing research and adds gene expression analysis but does not generate new patient data