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They contain the same active ingredient semaglutide, tirzepatide or orforglipron but add minor but clinically important modifications such as using a different salt form, adding different inactive ingredients and varying drug concentrations or dosages

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Biochim Biophys Acta (2014) 1843(2):45463.10.1016/j.bbamcr.2013.11.024 9 HendersonCJMcLarenAWWolfCR