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The only differences are: Indication on the label (Mounjaro for type 2 diabetes, Zepbound for weight management) Insurance coverage (each indication has different coverage rules) Cost (manufacturer programs differ between the two) Switching between brand-name and compounded tirzepatide is also direct in terms of mg dose, but requires care on the conversion to units and on the formulation

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The approach to managing diarrhoea should balance symptom relief with maintaining adequate nutrition and hydration