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It turns out that the idea of tirzepatide producing more significant weight loss than semaglutide in patients with type 2 diabetes isnt new, as demonstrated in a New England Journal of Medicine article reporting clinical data for tirzepatide versus semaglutide once weekly in patients with type 2 diabetes

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Levey AS, Coresh J, Tighiouart H, Greene T, Inker LA (2020) Measured and estimated glomerular filtration rate: current status and future directions

Its absence does not exclude a diagnosis of dumping syndrome as early dumping syndrome might be present in the absence of late dumping syndrome 1