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The main differences are vial sizes (semaglutide commonly comes in 5 mg and 10 mg vials) and dosing ranges (semaglutide doses run 0.25 mg to 2.4 mg, lower than tirzepatide)

Normal bloodwork doesnt rule it out timing and symptom pattern matter as much as the number

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As encouraged by Llins et al (76), Despite significant investment in processes to find all the possible polymorphs of active pharmaceutical ingredients (APIs), new polymorphs can suddenly appear without warning