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The primary mechanism of action has been speculated to involve their ability to increase the viscosity of contents of the upper GI tract and, hence, slow gastric emptying [23]

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Butsch, who has previously consulted for Novo Nordisk (maker of Wegovy) and Eli Lilly (maker of Zepbound), said he was already concerned about the ubiquity of compounded semaglutide and tirzepatide in recent years

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