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There are also concerns about product quality, particularly when peptides are obtained from sources that may not be subject to the same manufacturing standards as FDA-approved medications

Interestingly, a realworld observational study comparing semaglutide and tirzepatide found that the risks of GI side effects, including gastroparesis, gastroenteritis, bowel obstruction, cholecystitis, cholelithiasis, and pancreatitis, were similar between the two medications [34]

Another important issue should also be addressed

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