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(3) Preparation of semaglutide: and (3) taking the compound 4 as a raw material, and deprotecting under the action of a lysate to obtain the semaglutide

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The most common side effects of compounded semaglutide and compounded tirzepatide are similar to their brand-name counterparts and are typically gastrointestinal in nature, including: Nausea Vomiting Diarrhea Constipation Bloating or gas Decreased appetite or early satiety These side effects are usually mild to moderate and tend to improve over time, especially with gradual dose escalation under provider supervision

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