Compounded versions of tirzepatide are not FDA-approved
Bottom line : a really promising, but not well-proven vitamin C derivative that can be worth a try especially if you like experimenting (but if you like the tried and true, pure vitamin C will be your best bet)
Li M, Chen X, Wang X, Wei X, Wang D, Liu X, et al
Note that 2-PAM has an affinity for the acetylcholine anionic binding site on cholinesterase (right middle panel), which could explain the oxime related worsening of cholinergic side effects when 2-PAM is administered prior to the onset of action of atropine in the setting of organophosphate poisoning, by transiently preventing nerve-agent free cholinesterase from interacting with acetylcholine
Gastroparesis/stomach paralysis Doctors have also reported patients experiencing stomach paralysis, also called gastroparesis or delayed gastric emptying