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Certain health conditions, medications, and life circumstances add layers of complexity that make cycling between semaglutide and tirzepatide either more risky or potentially more necessary

In the SELECT trial, patients did not enroll for the specific purpose of weight loss and received standard of care covering management of CV risk factors, including medical treatment and healthy lifestyle counseling, but without a specific focus on weight loss

But compounding pharmacies counter that Novo Nordisks patents apply to finished medicines like Ozempic, not to the chemical that makes up semaglutide

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