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So thats whats happening is that some physicians are prescribing them for people off-label

These findings support a comparable cardiovascular benefit of tirzepatide and semaglutide in clinical practice and demonstrate how rigorously designed real-world evidence can complement randomized clinical trials

N Engl J Med 2019;381:1995-2008.PubMed 575

Consensus Report: Definition and Interpretation of Remission in Type 2 Diabetes