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Pharmacists purchase semaglutide (the active ingredient in Ozempic, Wegovy, and Rybelsus) or tirzepatide (the active ingredient in Zepbound) and mix their own medications

doi: 10.1002/jbmr.1898 62 ZhangMXieYZhouYChenXXinZAnJet al

F., Peptide Degradation and the Role of DPP4 Inhibitors in the Treatment of Type 2 Diabetes, Peptides 100 (2018): 150157, 10.1016/j.peptides.2017.10.011

There were 97 exclusions after browsing the title, including 79 review articles or meta-analyses, and another 18 studies were excluded because their subjects were unrelated

Many people who discontinue treatment with GLP-1s attribute it to side effects, with cost and insurance issues being other reasons