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doi: 10.1007/s13300-020-00894-y

Not because it is perfect, but because it is proven
Claire D'Abreu-Hayling, President of Generics Development and Chief Scientific Officer at Sandoz, said the FDA acceptance demonstrates the company's growing capabilities in developing complex GLP-1 therapies internally

During this period, the FDA added tirzepatide to its drug shortage list and worked with the manufacturer to increase production

The 2.5mg starting dose is explicitly an initiation dose, not a treatment dose the FDA label states it is for treatment initiation only