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Proper tirzepatide refrigeration is essential for maintaining potency, but the cold chain for grey market products is essentially nonexistent
This segment is led by a duopoly: Novo Nordisk's semaglutide (Ozempic for diabetes, Wegovy for obesity) and Eli Lilly's tirzepatide (Mounjaro for T2D, Zepbound for obesity and sleep apnea) together commanded 57.4% of the overall peptide therapy market in 2026 an extraordinary concentration in a USD 84.2 billion market
J Clin Invest 1985
Common adverse reactions were defined as events that occurred in 5%, excluding hypoglycemia, of the population studied
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