(3) removing Fmoc protecting groups, and sequentially coupling by coupling Fmoc or Boc protected alpha amino acid or peptide segments according to the sequence of semaglutide and then removing the Fmoc protecting groups, wherein the coupling sequence of the Fmoc or Boc protected alpha amino acid is as follows: Fmoc-Arg (Pbf) -OH, Fmoc-Gly-OH, Fmoc-Arg (Pbf) -OH, Fmoc-Val-OH, Fmoc-Leu-OH, Fmoc-Trp (Boc) -OH, Fmoc-Ala-OH, Fmoc-Ile-OH, Fmoc-Phe-OH, Fmoc-Glu (OtBu) -OH, Fmoc-Lys (Alloc) -OH, Fmoc-Ala-OH, Fmoc-Gln (Trt) -OH, Fmoc-Gly-OH, Fmoc-Glu (OtBu) -OH, Fmoc-Leu-OH, Fmoc-Tyr (tBu) -OH, Fmoc-Ser (tBu) -OH (Fmoc-Ser (tBu) -OH, Fmoc-Val-OH, Fmoc-OtBu (Asp), (Asp, Fmoc-Val) -OH, Fmoc-Leu-OH, Fmoc-Leu-Asp (Ser-Leu) -OH, Fmoc-Leu-OH, Fmoc-Ser (Ser-Leu) -OH, Fmoc-Gly-Leu-OH, Fmoc-Gly-OH, Fmoc-Ser (Ser-OH, Fmoc-Gly-OH, Fmoc-Gly-Ser-Leu-OH, Fmoc-Ser-OH, Fmoc-Ser-OH, etc, Fmoc-Thr (tBu) -OH, Fmoc-Phe-OH, Fmoc-Thr (tBu) -OH, Fmoc-Gly-OH, Fmoc-Glu (OtBu) -OH, Fmoc-Aib-OH, Boc-His (Trt) -OH

If you are comfortable with semaglutide calculations from using the semaglutide dosage calculator , the same skills transfer directly to tirzepatide microdose work
10.1186/s12887-019-1571-y 27 NitscheC.MaertinS.ScheiberJ.RitterC
For analyses by molecular structure, each individual GLP-1RA type was separately matched 1:1 with DPP-4i comparators using propensity scores