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The contamination problem in detail Contamination in grey market tirzepatide takes multiple forms, each with distinct health implications

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As of the time of writing, retatrutide has not received marketing authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA) and is not approved for use in the United Kingdom

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More importantly, the hazard ratio for major adverse cardiovascular events (including cardiovascular death, myocardial infarction, stroke, or hospitalization for unstable angina) for the pooled tirzepatide groups versus glargine was 0.74 (95% CI 0.511.08), suggesting no increased cardiovascular risk with tirzepatide compared to insulin glargine

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Trends can help distinguish a temporary fluctuation from a sustained change that deserves follow-up

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