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Compounding is a legitimate, regulated pharmaceutical practice with a long history

JAMA Network Improved diabetes remission, better glycemic control (less reliance on medications) in longer term trials

Tirzepatide is an example of a GLP-1/GIP dual agonist

In addition to their significant A1C-lowering effects, the landmark clinical trials for these respective agents found substantial appetite suppression, less feeling of "reward" after eating, and subsequent weight loss