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The capsule is chemically engineered to remain intact through the stomach's acidic environment and dissolve only in the small intestine the optimal site for bicarbonate absorption

Sharing a 94% structural homology with native human GLP-1, Semaglutide is distinguished by three modifications: 1) amino-acid substitutions at position 8 (alanine to -aminoisobutyric acid or Aib) and position 34 (lysine to arginine), and acylation of the lysine in position 26 with a spacer consisting of two 8-amino-3,6-dioxaoctanoic acid (ADO) moieties, a glutamic acid moiety, and a C-18 fatty di-acid side chain (Lau et al., 2015)

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There have been reports of individuals receiving vials labeled as tirzepatide that contained semaglutide or other substances