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Thats because they contain different active ingredients: Wegovy uses semaglutide, while Zepbound contains tirzepatide
Manes says, they can be the first sign of something more serious

Cigarette smoke is a known health stressor, but the study of how it specifically impacts the immune system is relatively new, says John Tsang, a professor of systems immunology at Yale University

But in the 2011 case Flynn v

Thermal degradation of these compounds occurs during the use of E-cigarettes, generating carbonyl compounds such as formaldehyde, acetaldehyde and acrolein [42, 66]
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