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Direct comparisons between treatments for change from baseline in HbA1c and in body weight at week 40, as reported in SURPASS2 and SUSTAIN FORTE, are shown in Table S2

The FDA reaffirmed the decision on December 19, 2024

Following on from this, efpeglenatide, a modified exendin conjugated to the fragment crystallizable (Fc) region of human immunoglobulin (Ig), possesses a pharmacokinetic/pharmacodynamic profile supporting once monthly administration

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Compounded medications are not FDA-approved and have not undergone FDA review for safety, effectiveness, or manufacturing quality

The tirzepatide drops guide explains this alternative delivery method, and the sublingual dosage chart provides concentration-specific instructions
