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Tirzepatide reduced waist circumference by 18.4 centimeters (7.2 inches) compared to 13.0 centimeters (5.1 inches) for Semaglutide

These findings suggest that tirzepatide significantly improves cholesterol and bile acid metabolism and excretion by upregulating key transporters and nuclear receptors, thereby alleviating the pathological state of fatty liver disease

Patel, R., Klein, P., Tiersten, A

Compare Tesamorelin / Ipamorelin Blend by mechanism, evidence strength, expected timeline, side-effect profile, and whether its primary use case matches your goal

That depends

The legal status of tesamorelin varies from country to country