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These discounted doses require patients to manually draw the medication from a vial, which adds a step compared to prefilled injector pens

Another possible explanation has to do with how Zepbound is formulated

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Sequence: Gly-His-Lys (3 amino acids) complexed with Cu(II) Molecular formula: C14H24N6O4Cu Molecular weight: 403.92 g/mol Copper content: 14-16% by weight Blue lyophilized powder (color indicates proper Cu(II) coordination) HPLC and mass spectrometry verified 100 mg larger format for extended research protocols For laboratory research only

The effect of adding exenatide to thiazolidinedione in suboptimally controlled type 2 diabetes: a randomized trial