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While these findings are promising, they also highlight the need for standardization and validation across cohorts before clinical application [198]

Weight loss is an off-label use that requires a private prescription at full price

Injection procedures are more complicated with once-weekly medications

Grey market tirzepatide refers to the active pharmaceutical ingredient purchased through unauthorized channels, typically from overseas chemical suppliers, and prepared by the end user rather than a licensed pharmacy

doi:10.1016/j.mehy.2009.10.051