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In other words, EllieMD appears to be borrowing clinical evidence from injectable formulations and applying it to a fundamentally different delivery method

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Studies reporting adjusted analyses had low to moderate risk of bias, whereas those reporting only crude estimates had a serious risk of bias, mainly due to confounding

GLP-1 agonists: US sees 700% increase over four years in number of patients without diabetes starting treatment

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They also make tirzepatide, which is sold as Mounjaro for type 2 diabetes and Zepbound for weight loss