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They are also not the same as generic drugs, which are FDA approved

[DOI] [PubMed] [Google Scholar] 49.Asarian L

Oral forms and nasal forms of tirzepatide are counterfeit medications and have never been studied for safety and efficacy by their manufacturers, nor have they been approved by the FDA

10.1016/j.neuroscience.2009.05.025 [DOI] [PubMed] [Google Scholar] Kirvalidze M., Hodkinson A., Storman D., Fairchild T., Baa M., Beridze G., et al

Additional Clinical Findings Worth Noting Beyond the headline studies, several smaller investigations provide supporting evidence

Effects of peripheral administration of synthetic human glucose-dependent insulinotropic peptide (GIP) on energy expenditure and subjective appetite sensations in healthy normal weight subjects and obese patients with type 2 diabetes