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What is the difference between this compounded injection and commercially available tirzepatide products

Long-chain fatty acids and phospholipids like lysophosphatidylcholine (LPC), other compounds such as retinoic acid (RA) and multiple N-acylethanolamines (NAE) such as N-oleyldopamine (OLDA), palmitoylethanolamide (PEA), or oleylethanolamide (OEA), all act as endogenous ligands of GPR119

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When tirzepatide is compounded with B12, a common additive marketed as an upgrade, the two substances chemically bond and form a new molecule