is exendin 4 in tirzepatide Ozempic® (semaglutide) and Mounjaro™ (tirzepatide), a major breakthrough for the treatment of obesity Exendin-4(1-32)K-Capric Acid, a Glucagon-Like Peptide-1

Given once a week from a prefilled pen, on any chosen day

Key domains requiring structured oversight include: Pancreatitis and gallbladder disease Progression of diabetic retinopathy Severe gastrointestinal intolerance Visual loss and rare opticnerve complications Nutritional/metabolic issues with rapid weight reduction In India, where continuity of care is variable and prescribing often occurs outside endocrinology, these risks can be underrecognised or misattributed

Appetite and craving support

How Ozempic Works: Semaglutide activates the GLP-1 receptor, enhancing insulin secretion when blood sugar is elevated, while simultaneously reducing glucagon release and slowing gastric emptying

It is not for human consumption

5 Kidney Excretion Rosuvastatin is partly excreted by the kidneys, so dose adjustments may be needed in renal impairment