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"And so I think this becomes for patients much more difficult than it obviously needs to be."

What the FDA documented here is alarming on its own terms

Every time you receive a new vial, read the label

However, the overall picture is consistent: tirzepatide produces substantially greater weight loss and improvements in blood sugar than oral semaglutide

If your fatigue is not improving on the expected timeline, that is not a reason to push through silently
