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It was added to the Prohibited List in 2022 as a non-approved substance, reflecting its transition from an obscure research compound to a significant "substance of interest" in professional athletics

Neelakantan H, Wang HY, Vance V, et al

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Why Tirzepatide Monotherapy Often Outperforms Combination Approaches Clinical trial data consistently show that maximizing a single potent agent delivers better outcomes than lower doses of multiple agents

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