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It is a compounded formulation, meaning it comes from compounding pharmacies that prepare it using bulk tirzepatide powder

Generally, troches cost more per dose than raw peptide powder reconstituted for injection because of the compounding labor and specialized excipients

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Burns 29:769777 Numata Y, Terui T, Okuyama R, Hirasawa N, Sugiura Y, Miyoshi I et al (2006) The accelerating effect of histamine on the cutaneous wound-healing process through the action of basic fibroblast growth factor